The DOS-1745 form serves as a vital document affiliated with the New York State Department of State, specifically within the Bureau of Educational Standards under the Division of Licensing Services. It is crafted for organizations seeking to offer home inspection continuing education courses. The primary feature of this form includes a structured course approval application process, which highlights a blend of detailed instructional requirements and administrative necessities. Prospective applicants are mandated to submit this form 60 days ahead of the proposed course offering, accompanied by a non-refundable fee of $25. Furthermore, the form entails sections for specifying course details such as title, duration, educational organization data, and course location(s), including both primary and any additional sites. It also inquires about the nature of the educational organization's ownership, questioning whether it is accredited, and if not, requests further documentation depending on its corporate structure—individual, partnership, or corporation. An important aspect of the application involves disclosing any criminal records of the entity’s owners or significant stakeholders and any past incidents where a professional license or permit was denied, suspended, or revoked. Moreover, all course instructors must receive approval from the Department of State, necessitating additional applications for each educator. Ultimately, applicants are required to furnish a comprehensive outline of the course content, including a breakdown of the curriculum, materials provided during instruction, books used, attendance policies, and procedures for issuing completion certificates. This rigorous application process ensures that only qualified entities can provide home inspection continuing education, thereby maintaining high educational and professional standards within the industry.
| Question | Answer |
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| Form Name | Form Dos 1745 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 1745 a nys home inspection continuing education courses form |
NYS Department of State |
Bureau of Educational Standards |
DIVISION OF LICENSING SERVICES |
P.O. Box 22001 |
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Albany, NY |
HOME INSPECTION CONTINUING EDUCATION |
Phone: (518) |
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COURSE APPROVAL APPLICATION |
Fax: (518) |
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www.dos.state.ny.us |
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PLEASE READ CAREFULLY, AS INCOMPLETE APPLICATIONS WILL BE RETURNED.
'All applications must be submitted 60 DAYS BEFORE the proposed course is to be conducted.
'The
'Annual registration period runs from January 1st to December 31st. All locations must be approved.
'Attach to application: a detailed course outline with time sequence and other items listed on the back of this application.
1.WHAT IS THE TITLE AND LENGTH OF THIS COURSE? Must be a minimum of 1 hour of instruction and a maximum of 24 hours of instruction.
Title |
Hours |
2.EDUCATIONAL ORGANIZATION DATA
SCHOOL/ORGANIZATION NAME
ADDRESS (NUMBER AND STREET; ROOM/SUITE DESIGNATION)
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CITY |
STATE |
ZIP+4 |
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COORDINATOR’S NAME (person authorized to submit application on behalf of entity and responsible for administering Department of State regulations) |
TELEPHONE |
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HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
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3.PRIMARY COURSE LOCATION
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
CITY |
STATE |
ZIP+4 |
4.SECONDARY LOCATIONS
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
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STATE |
ZIP+4 |
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LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION) |
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CITY |
STATE |
ZIP+4 |
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LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION) |
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CITY |
STATE |
ZIP+4 |
A fee of $20 will be charged for any check returned by a bank for insufficient funds.
Home Inspection Continuing Education Course Approval Application |
Page 2 of 2 |
5.TYPE OF EDUCATIONAL ORGANIZATION OWNERSHIP
Is this organization an accredited College or University? Yes [ ] No* [ ] If No*, Please complete one of the following:
INDIVIDUAL: (Please submit a certified copy of the Trade Name Certificate and complete the following for Owner.)
NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
PARTNERSHIP: (Please submit a copy of Partnership Agreement and complete the following for all Partners.)
NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
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NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
CORPORATION: (Please submit a copy of the Certificate of Incorporation and complete the following for all officers and other individuals who own 5% or more of the stock of this corporation. If needed, attach additional sheets.
NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
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NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
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NAME |
HOME ADDRESS (NUMBER AND STREET) |
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CITY |
STATE |
ZIP+4 |
6.Has any owner, partner, owner of 5% or more of the stock of the entity, or individual authorized to submit this application on behalf of the entity been convicted of any crime
or offense, other than a minor traffic violation?
[ ] Yes* |
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] No |
If Yes*, submit a certified copy of each conviction. |
7.Has any license or permit issued to, applied for by any owner, partner, holder of 5% or more of the stock of the entity, or individual authorized to submit this application on behalf of the entity, been denied, suspended or revoked by this state or elsewhere by any other governmental or regulatory body?
[ ] Yes* |
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] No |
If Yes*, please provide details. |
Course Instructors: All instructors of approved courses must be approved with the Department of State. Applications for home inspection instructor approval are available on our website at www.dos.state.ny.us or by request to the Division of Licensing Services, Bureau of Educational Standards. A one time evaluation and filing fee of $25 is required for each instructor’s approval.
8.COURSE CONTENT - ALL OF THE FOLLOWING MUST BE SUBMITTED.
[] a detailed course outline with time sequence.
[] a description of materials that will be distributed in the course.
[] a listing of the books that will be utilized in the course.
[] the procedures for taking attendance.
[] list of names and signatures of individuals authorized to sign certificates.
[] a fee of $25.
I subscribe and affirm under the penalties of perjury that the statements made in this application (including statements made in any accompanying papers) have been examined by me, and to the best of my knowledge and belief, are true and correct.
I understand that any misstatement made on this application for approval could result in an immediate revocation or withdrawal of the recognition of the approval of the entity by the Department of State.
Coordinator Signature X |
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