WV MCLE COMMISSION
FORM A - COURSE APPROVAL
1. Name & Address of Member Seeking Approval
Name:_____________________________________________________________
Firm/Office:________________________________________________________
Street: ____________________________________________________________
City State Zip: ______________________________________________________
2. Attorney Telephone: ____________________ Attorney Fax: ______________________
Attorney e-mail: ______________________________________________________
3. Name of course, course sponsor and sponsor's address & telephone number:
__________________________________________________________________________
__________________________________________________________________________
If a brochure is submitted with your request, no answers are need for questions 4-7
4. Purpose of the course:
__________________________________________________________________________
__________________________________________________________________________
5. Course Schedule (including individual topics to be addressed along with date and location)
__________________________________________________________________________
6. Faculty (including names and professional education/background)
__________________________________________________________________________
7. Total number of hours of instruction
__________________________________________________________________________
I certify that the information contained on this application form is true, to the best of my knowledge.
Signature __________________________________________________________________
Important Note: This form is not needed if the seminar is offered by a presumptively-accredited provider.
Mail to: MCLE Commission, The West Virginia State Bar
2006 Kanawha Blvd E, Charleston, WV 25311-2204.
Telephone Number of MCLE Commission 304/558-7992 -- Fax Number 304/558-2467
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NOTICE OF DECISION FROM MCLE COMMISSION
The following action has been taken on this application:
[ ] Approved for MCLE credit in WV.
Credits may be determined by the following formula: One credit earned for each fifty minutes of actual instruction. (Please do not include introductory/closing remarks, breaks, luncheon/dinner speeches, business meetings, etc.)
Credits should be reported on Form C or a Certificate of Attendance or online.
Date _________________________________
MCLE Coordinator ________________________________________
Send Comments to MCLE Coordinator Hope Gresham: greshamh@wvbar.org
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| The West Virginia State Bar |
| 2006 Kanawha Boulevard, East - Charleston,
WV 25311-2204 Phone: (304) 558-2456 - Fax: (304) 558-2467 - WV Toll Free: 866-989-8227 |
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The WV State Bar. All rights reserved.
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