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KBA Form 1 January 2014 KY Bar Association CLE Commission 514 West Main Street Frankfort KY 40601-1883 Phone 502 564-3795 FAX 502 564-3225 www. kybar. org APPLICATION FOR ACCREDITATION OF CONTINUING LEGAL EDUCATION ACTIVITY To be submitted 30 days prior to CLE activity if submitted by program sponsor or late fees will apply See SCR 3. 650 and 3. 660 Qualifying Continuing Education Activities Standards and Procedure for Accreditation Name and address of organization providing or sponsoring the activity Not the name of the person applying Telephone number of provider/sponsor Title of educational activity Date of activity Location of activity Registration Fee Method of presentation or transmission Live A live program takes place at a specific time and includes the opportunity to interact with or question the instructor. A video replay with a qualified attorney-facilitator webcasts and teleconferences are all live programs. Technological A technological program is pre-recorded available on demand with no live interaction WRITTEN MATERIALS MUST BE AVAILABLE to participants at the program in order to qualify for CLE accreditation* Please provide a thorough DESCRIPTION of materials including total number of pages. Send complete set of materials ONLY if requested by the CLE Commission* Complete ONLY for in-house activity See SCR 3. 600 9 and 3. 650 2 l to determine applicability a* Outsiders are of faculty must be at least 50 to qualify 10. Method of program evaluation Participant/attendee critique Independent evaluator None 11. REQUIRED ATTACHMENTS TO THIS APPLICATION 1. Brochure which includes detailed time schedule topics and speakers including speaker bios 2. Application fee a* KBA Members 20 b. Program Sponsors 20 for programs less than two hours in length 50 for longer programs SPONSORS ONLY If the application is not submitted 30 days in advance of the program the fee doubles to 40 or 100 respectively. 12. Minutes of instruction not including breaks meals or introductions General Ethics Total 13. Application submitted by a* Representative of Sponsor/Provider Individual Attorney Phone number KBA ID number Signature Date. kybar. org APPLICATION FOR ACCREDITATION OF CONTINUING LEGAL EDUCATION ACTIVITY To be submitted 30 days prior to CLE activity if submitted by program sponsor or late fees will apply See SCR 3. 650 and 3. 660 Qualifying Continuing Education Activities Standards and Procedure for Accreditation Name and address of organization providing or sponsoring the activity Not the name of the person applying Telephone number of provider/sponsor Title of educational activity Date of activity Location of activity Registration Fee Method of presentation or transmission Live A live program takes place at a specific time and includes the opportunity to interact with or question the instructor. 650 and 3. 660 Qualifying Continuing Education Activities Standards and Procedure for Accreditation Name and address of organization providing or sponsoring the activity Not the name of the person applying Telephone number of provider/sponsor Title of educational activity Date of activity Location of activity Registration Fee Method of presentation or transmission Live A live program takes place at a specific time and includes the opportunity to interact with or question the instructor. A video replay with a qualified attorney-facilitator webcasts and teleconferences are all live programs.