1. Sponsor Details
Year Address
Sponsor Name Telephone
2. Instructor Classification
Served as instructor - Single instructor - One (1) session only (maximum of six (6) teaching credits per MCLE Reporting Year)
Served as instructor - Panel member - More than one (1) instructor during session (maximum of six (6) teaching credits per MCLE Reporting Year)
Served as instructor - Moderator of panel (maximum of six (6) teaching credits per MCLE Reporting Year)
Served as instructor - Semester/trimester course teaching to non-attorneys, non-legal degree seeking students (awarded maximum of six teaching (6) credits per MCLE Reporting Year)
Served as instructor - Semester/trimester course teaching to attorneys or legal degree seeking students (awarded maximum of six (6) teaching credits per MCLE Reporting Year plus four (4) general credits for a total of ten (10) credits)
3. Educational Activity
Course title Location
Date
4. Description of Materials to be Distributed
Total pages Unbound copies
Electronic File CD/DVD/Flash drive
Bound/Book
5. When are Materials Distributed?
Before program Other
At program
6. Required Attachments to the Application
Syllabus/Timed agenda/Course description
Instructor credentials /Curriculum vitae
7. Total Minutes of Instruction
Teaching credits
General credits
Total
R.i. Sup. Ct. R. F