Apex Course Request Form

Information & Course Request Form

Host Board/Association of REALTORS® or Broker’s Office
Board/Association or Brokerage Firm Host Name*
Board/Association or Brokerage Firm
Class Requested (1 form per class scheduling request please)*
(For any class not listed please contact Apex directly)
Registration Coordinator / Host Staff Contact*

First NameLast Name
Contact Number
Please enter a valid phone number.
Email Address*
example@example.com
Host Address

Street Address

Street Address Line 2

CityState

Zip Code
Location of Class (Live/In-Person)

Street Address

Street Address Line 2

CityState

Zip Code
Class Date and Start Time (course duration based on CE hours)*

MonthDayYear
Date
Hour MinutesAM/PM Option
Class Delivery Option*

ClassroomLive/Online (via Zoom)
Min Seats min seats Max Seats max seats.
Select One - Payment and Registration*

Apex handles Registration, payment to instructor, pays host after fee ($5/student)Apex handles Registration - pays host all funds minus fee ($5/student) Host pays InstructorHost handles Registration - pays instructor directly & will pay Apex ($5/student)Host handles Registration - Apex pays instructor and invoices host fee + instructor ($5/student + instructor fee to be invoiced to host after class is complete)
IF Apex will handle registration and payment, enter the instructor fee.
(Instructor fee agreed upon in advance or proposed fee if not yet scheduled. Confirmation will follow.)
- Class may be canceled up to two (2) days before the scheduled date with no penalty.
- If the class location for a live in-person event is not handicapped accessible, host should note this on all advertising.
- If no minimum student count is necessary, leave that space blank.
- For Apex-registered courses, the waitlist will be turned on and managed.
Please note that attendees can only receive CE for a class once every calendar year.
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Information & Course Request Form