Education Director Designation Form

An image of the North Carolin Real Estate Seal.

If the Education Provider is not currently certified by the Commission, please submit the Application for Original Education Provider Certification .
The duties of the Education Director for a certified Education Provider are defined in Commission Rule 58H.0203 .

Education Provider Details

Is this education provider currently licensed?

Designation of a Education Director can only be made for licensed and approved real estate education providers. If the education provider is not licensed and approved you must complete the REC 3.86 Application for Original Education Provider Certification form.

Please select an education provider from the list below.*

Education Director

Current Education Director*

Proposed Education Director

First Name*

Middle Name

Last Name*

NC Broker License # (if applicable)

Phone*

Email*

Is this a permanent employee?*

Title*

Effective Date of this change*

Signature and Certification of Proposed School Director

I certify that I have read the foregoing application and that the information provided therein is true and correct to the best of my knowledge and belief. I also certify that all courses conducted by this Education Provider shall be conducted in compliance with General Statue 93A-Article 3 and the Commission rules of Subchapter 58H .

Signature Required*

(Type your name)

Title

Date Signed

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This form is not meant to be printed. If you have already completed the form please use the submit button at the bottom to send the form directly to the Commission.