Application for Original Licensure of a Private Real Estate School


An image of the North Carolin Real Estate Seal.


PLEASE REVIEW THE STATUTE AND RULES PRIOR TO COMPLETING THIS FORM

School Director Designation
Qualifications: (Check all that apply and provide additional information as noted.) *
School #1* (required)
School #2* (required)
School #3* (required)
School #4* (required)
School #5* (required)

Attach a transcript demonstrating completion of coursework. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
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Attach REEA verification letter. *
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Attach a detailed description of experience. *
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Criminal Background Check

Upload a copy of the Criminal Background Report for the proposed School Director.*
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Entity Management
List the name, corporate title, percentage of stock ownership of every major officer (e.g., President, Vice-President(s), Secretary, Treasurer, etc.) of the corporation and mailing address. Also provide licensure details for any officer who has held a real estate license in any state within the previous five (5) years.
Corporate Officer #1*
Corporate Officer #2*
Corporate Officer #3*
List the name, corporate title, mailing address, and percentage of stock ownership of any additional person or entity owning at least 10% of the outstanding shares of stock of any class. Also provide licensure details for any such shareholder who has held a real estate license in any state within the previous five (5) years.
Corporate Shareholder #1*
Corporate Shareholder #2*
Corporate Shareholder #3*
List the name, title, mailing address, and percentage of ownership for every manager and/or member with an ownership interest of at least 10%. Also provide licensure details for any manager or member who has held a real estate license in any state within the previous five (5) years.
Manager/Member #1*
Manager/Member #2*
Manager/Member #3*
List the name, title, mailing address, and percentage of ownership for every general and/or limited partner with an ownership interest of at least 10%. Also provide licensure details for any partner who has held a real estate license in any state within the previous five (5) years.
General and/or Limited Partner #1*
General and/or Limited Partner #2*
General and/or Limited Partner #3*
List the name, title, mailing address, and percentage of ownership of every person or entity who serves as a major officer or manager (e.g., President, Vice-President, Secretary, Treasurer, Executive Officer, Business Manager, etc.), as well as every person or entity with an ownership interest of at least 10%. Also provide licensure details for any principal who has held a real estate license in any state within the previous five (5) years.
Other Business Entity #1*
Other Business Entity #2*
Other Business Entity #3*

Character of School Owner(s)/Official(s)

If “Yes”, provide a copy of the court judgment, release from parole or probation, and a complete explanation from each affected person. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
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Person #1* (required)

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Person #2

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If “Yes”, provide a copy of the licensing agency’s order and a complete explanation from each affected person. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
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Person #1* (required)

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Person #2

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Proposed Locations

You can request licensure for up to two additional locations using this form. For EACH proposed location, attach a copy of the current fire inspection report. If any violations are noted on the report, such violations must have been corrected, and a subsequent “clean” fire inspection report must be submitted with the application. There is a $200 fee for each proposed location.

Administrative/Principal Location*
Please complete the requested information.

A CURRENT fire inspection conducted by the appropriate fire department is required for each proposed classroom location. If the inspection was conducted more than a year prior to submission of your school application, an official statement from the inspecting authority regarding the effective period of their inspection report (e.g., 2 years or 3 years) will be necessary. If any violations were noted in the original inspection report, you must attach a subsequent inspection report that shows corrected violations or official communication from the inspector certifying that noted violations have been corrected. Applicant must certify that school facilities and equipment are in compliance with all applicable local, state and federal law and regulations regarding health, safety, and welfare, including the Americans with Disabilities Act. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 20MBs total.

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 20MBs

Additional Location*

A CURRENT fire inspection conducted by the appropriate fire department is required for each proposed classroom location. If the inspection was conducted more than a year prior to submission of your school application, an official statement from the inspecting authority regarding the effective period of their inspection report (e.g., 2 years or 3 years) will be necessary. If any violations were noted in the original inspection report, you must attach a subsequent inspection report that shows corrected violations or official communication from the inspector certifying that noted violations have been corrected. Applicant must certify that school facilities and equipment are in compliance with all applicable local, state and federal law and regulations regarding health, safety, and welfare, including the Americans with Disabilities Act. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 20MBs total.

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 20MBs

Additional Location*

A CURRENT fire inspection conducted by the appropriate fire department is required for each proposed classroom location. If the inspection was conducted more than a year prior to submission of your school application, an official statement from the inspecting authority regarding the effective period of their inspection report (e.g., 2 years or 3 years) will be necessary. If any violations were noted in the original inspection report, you must attach a subsequent inspection report that shows corrected violations or official communication from the inspector certifying that noted violations have been corrected. Applicant must certify that school facilities and equipment are in compliance with all applicable local, state and federal law and regulations regarding health, safety, and welfare, including the Americans with Disabilities Act. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 20MBs total.

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 20MBs


Course Information
Prelicensing Course
There is a 75 hour minimum
Indicate which NCREC-approved textbook will be used.*
Galaty, Allaway, Kyle & Long, Modern Real Estate Practice in North Carolina, 9th edition

Mangum and Keck, North Carolina Real Estate Principles and Practices, 7th edition revised
Course Syllabus Acknowledgement*
Postlicensing Courses
There is a 30 hour minimum
There is a 30 hour minimum
There is a 30 hour minimum
The required textbook for all three (3) Postlicensing courses is the CURRENT edition of the Commission’s North Carolina Real Estate Manual. Indicate which versions of the NC Real Estate Manual may be used by students in Postlicensing courses (Select all that apply.)*

Course Syllabi Acknowledgement*

Performance Bond Insurance Information
Performance Bond*

Upload a copy of the Private Real Estate School Performance Bond.*
Remember: Do NOT record bond until you receive written authority to do so from the Commission.
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*Max file upload size 20MBs total.

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Other Required File(s)
School Bulletin*

Upload a copy of the required School Bulletin. *
If you do not have a copy of the School Bulletin template you can download one here.
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Consent to Service Process and Pleadings

If applicable, upload a copy of the Consent to Service Process and Pleadings (REC 1.03).
This requirement applies ONLY to Foreign (Out-of-State) Corporations, Limited Liability Companies, and Limited Partnerships.
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Additional Documentation

Attach any additional documentation that supports this application.
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EMPLOYEE MISCLASSIFICATION
Read the Public Notice Statement. Click the box to certify that you have read the statement, and select Yes or No in response to the question regarding investigations. If you select Yes, you will be required to provide information regarding the case(s). If you have questions regarding this section, please direct them to the North Carolina Industrial Commission. Contact information is provided on the page.

As required by the NC state legislature in NCGS § 143-765, effective January 1, 2018, in order to apply for or renew an occupational license, permit, or certification, the applicant must certify that they have read and understand the public notice statement from the Employee Classification Section of the State Industrial Commission and must disclose any investigations for employee misclassification.

Public Notice Statement
required by N.C. Gen. Stat. § 143-764(a)(5), effective December 31,2017

Any worker who is defined as an employee by N.C. Gen. Stat. §§ 95-25.2(4)(NC Department Of Labor), 143-762(a)(3)(Employee Fair Classification Act), 96-1(b)(10)(Employment Security Act), 97-2(2)(Workers’ Compensation Act), or 105-163.1(4)(Withholding; Estimated Income Tax for Individuals) shall be treated as an employee unless the individual is an independent contractor. Any employee who believes that the employee has been misclassified as an independent contractor by the employee’s employer may report the suspected misclassification to the Employee Classification Section within the North Carolina Industrial Commission.

Employee Classification Section
North Carolina Industrial Commission
1233 Mail Service Center
Raleigh, NC 27699-1233
Telephone: (919) 807-2582
Fax: (919)715-0282
Email: emp.classification@ic.nc.gov

Employee misclassification is defined as avoiding tax liabilities and other obligations imposed by Chapter 95, 96, 97, 105, or 143 of the North Carolina General Statutes by misclassifying an employee as an independent contractor.N.C. Gen. Stat. § 143-762(5)




License Application Fees
The location fee must be paid for each proposed location; however, the course fees need only be paid once for each school. [See Rule 58H .0203] All application fees are nonrefundable.
Location(s):$200 per location:
$200
Approval to Conduct Broker Prelicensing Course ($40):
$0
Approval to Conduct Broker Postlicensing Courses ($40 x 3 = $120):
$0
APPLICATION FEE TOTAL:
$200

Signature & Certification

The undersigned certifies that he/she has read the foregoing application and that the information provided therein, including any attachments, is true and correct to the best of his/her knowledge and belief, and that, if other than the sole owner, he/she is duly authorized by the applying business entity to file this application. The undersigned further declares that he/she has read the North Carolina Real Estate Commission’s requirements for licensure and operation of a private real estate school.

(Type your name)

Date Signed

6/18/2019

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