Kansas Continuing Legal Education Commission 400 S. Kansas Ave., Ste. 202,  Topeka, KS 66603
(785) 357-6510

APPLICATION FOR APPROVAL OF CLE ACTIVITY

∙ Complete one application for each activity. (EXCEPTION: programs being repeated on different dates or locations can be submitted on one application.) Sponsors must include $25 application fee.

∙ This form must be completed in its entirety. Incomplete forms will be returned to the sender without review.

∙ Applications for approval of in-house programming (CLE Rule 4.06) must be submitted 30 days prior to the activity.

Application is submitted by:   Employee of Sponsor Provider ☐             Individual Attorney ☐

PART A (Required on all applications) SPONSOR INFORMATION

1. Program Sponsor:                                                                                  Contact Person                                                       
   
2. Address                                                                                                Email Address                                                         

    City State Zip                                                                                        Office Phone                                                           

PART B ATTORNEY INFORMATION (If submitted by an individual attorney for personal credit.)

3. Attorney:                                                                                            Supreme Court Number                                                 

4. Address:                                                                                             Day Phone #                                                              

    City State Zip                                                                                      Email Address:                                                           

PART C CLE ACTIVITY INFORMATION

5. Title of CLE Activity                                                                                                                                                              

6. Date of Activity (Month/Day/Year):                                                                                                                                         
 
7. Meeting Site/City/State:                                                                                                                                                        

8. Intended Audience (e.g. Attorneys, Business Executives):                                                                                                       

9. Registration Fee:                                           

10. A copy of the program agenda must be attached. Program will not be reviewed without this information.

11. Written materials are not required on initial application but may be requested. If submitted, materials become property of the           Commission and will not be returned.

12. Description of materials: Bound                    Looseleaf                    Outline                            

13. Check all that apply: Live                  Video                   Satellite                  In-House                              

14. Credit Hours: To calculate the number of credit hours, enter the number of minutes of instruction on the first line and divide by 50 minutes. Hours are rounded down with a minimum of 25 minutes. (e.g. 1.0, 1.5, 2.0) Time devoted to introductory remarks, breaks, meetings or meals does not qualify for CLE credit. Professional responsibility credit must be in an identifiable block of time on the program agenda to qualify.

Total minutes of instruction                  divided by 50 min. equal hours. This program includes                 minutes of professional responsibility credit.