NASAA IAR CE Course Provider Application

Course Provider Name *

Course Provider Street Address *

Address Line 2

City *

State *

Zip Code *

Course Provider Phone Number *

Course Provider Web Address -- Please enter the link where you would like prospective IAR participants to contact you. *

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Main Point of Contact @ Course Provider *

Point of Contact's Phone Number *

Course Provider Web Address *

CE Component *

Products & Practice

Ethics & Professional Responsibility

Both Components

Number of Potential Courses *

Number of Potential Instructors *

To which of the following audiences will your courses be offered: *

General public offering - anyone can take the course

Only those IARs who subscribe to our education services package

Employees of specific firm(s) only

Will you be allowing IARs to sign up for a single course or will they need to sign up for a subscription? (Optional)

Courses will be available individually (single course)

Courses will only be accessible through a subscription to our course catalogue ONLY

Courses will be available in both formats, individually and through a subscription to our course catalogue

Will you be charging a fee for the courses that you plan to offer to the general public or as a subscription? (Optional)

Yes, there will be a fee charged

No, courses will instead be made available free of charge

N/A - our courses are only offered to employees of a specific firm(s)

If you answered yes to a fee, please let us know the amount you plan to charge per course or services subscription package. Please first indicate if the charge is for individual course or a subscription and then how much you plan to charge. (Optional)

Cover Letter Attachment *

Full Application Attachment *

Additional Attachment