APPENDIX D NOTICE OF DECISION (To be completed by the state accreditation office and returned to the applicant.) UNIFORM APPLICATION FOR ACCREDITATION OF CONTINUING LEGAL EDUCATION ACTIVITY To the State of:________________________________ 1. The following action has been taken on this applica- Name and address of organization providing or sponsoring the activity (not the name of person applying): tion: □ APPROVED for _______CLE credits, including ________ethics credits. □ ACCREDITATION DENIED. Reference ____ □ RETURNED for more information. 2. Phone number of provider/sponsor: (____) ______________________ Please complete each item on this form indicated 3. Title of the educational activiby the number(s) circled below: ty:________________________________________ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 4. Date(s) & location(s)________________________________________________ □ Please see attached materials. 5. Registration fee:______ 6. Writing surface availaDate__________ CLE Staff_____________ ble? □ Yes □ No 7. Method(s) of presentation: □ faculty in room with participants □ telephone to broadcast site □ satellite/microwave □ audiotape presentation □ videotape presentation □ discussion leader present 8. Advertised to: □ Lawyers □ Other—specify:__________________________________________________ 9. List any admission restrictions:________________________________________________________________________ 10. “In-house activity” requirements (see local rules to determine applicability): □ open/publicized to outside lawyers □ outsiders are ____% of faculty 11. Method of evaluation: □ participant critique □ independent evaluator □ none □ other______________________________________________________ 12. Description of materials to be distributed: total pages_____ □ looseleaf □ bound When are materials distributed? □ before program □ at program □ other______________________________ 13. REQUIRED ATTACHMENTS to this application: 14. Total minutes of instruction, not a. time schedule (brochure, course outline, including breaks, meals or introductions: course description) b. table of contents or equivalent c. faculty name(s) and credentials (if not in General (non-ethics)________________ d. brochure or description) Ethics______________________________ e. complete set of materials (only in states where required) Total_______________________________ 15. Approval by other states: Granted by_________________________________________________ Denied by (state reasons)______________________________________ 16. Submitted by: □ employee of sponsor/provider * □ individual lawyer SPONSOR’S OBLIGATIONS (does not apply to individual applicants): Sponsor acknowledges and agrees to comply with all applicable local rules and regulations. ____________________________________________ __________________________________ Name of person applying (type or print) Address * RI Bar # ________________________________________________________ Signature Date Phone ___________________________________________________ City/State/Zip *NOTE: Application submitted by RI attorney must be accompanied by a $5 processing fee—payable to RI Supreme Court/MCLE MAIL TO: RI MCLE Commission, John E. Fogarty Judicial Annex, 24 Weybosset Street, 3rd floor, Providence, RI 02903.   American LegalNet, Inc. www.FormsWorkFlow.com