PROFESSIONAL DESIGNATION - Michigan Land Title …



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POINT APPROVAL REQUEST FORM

Name: ________________________

CHECK ONE:

______ Accumulating Points to set for exam

OR

______ Con Ed points for existing CLTP or ALTP certification

Land Title Industry Experience:

Additional years achieved since date of application: _________

Additional points requested: _________

|Years |5 |

|Attendance of MLTA Education Seminars1 |50 per seminar |

|Attendance of NON-MLTA 2+day educational conference |40 per conference |

|Attendance of NON-MLTA 1 day seminar or workshop |25 per seminar |

|Underwriter & other industry related webinars |10 per webinar |

|Prepare original materials for seminars & licensing courses for MLTA |25 per seminar |

|Teaching/Speaking at MLTA seminars or classes |10 per seminar |

PLEASE SUBMIT MATERIALS FOR EVENTS AND/OR OUTLINE OF CONTENT FOR CONFERENCES/SEMINARS/WEBINARS ATTENDED.

NOTE: THE BOARD'S APPROVAL OF CERTAIN POINTS IS DEPENDENT UPON WHETHER OR NOT THE EDUCATIONAL CONTENT IS ESCROW, TITLE, REAL ESTATE OR LAW AND IS RELATED TO OUR INDUSTRY. OTHER EDUCATIONAL CONTENT SUCH AS INSTRUCTIONAL SOFTWARE, MARKETING OR MOTIVATIONAL MATERIAL IN NATURE OR ANY OTHER NON-RELATED INDUSTRY CONTENT MAY BE DENIED.

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______ or

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

Event: _________________________________________________

Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Materials attached _________ Prepared materials _____ Presented materials ________

NOTE: THE MLTA FISCAL YEAR IS JULY 1 - JUNE 30TH. YOU MUST COMPLETE THE FISCAL YEAR DUTY AS MEMBER OR CHAIR BEFORE YOU SUBMIT YOUR POINTS (I.E., 2014-2015 POINTS FOR SERVICE MUST BE SUBMITTED AFTER JULY 1, 2015)

Professional Participation

|MLTA Board member |50 per year |

|MLTA committee chair |25 per year per chair |

|Active MLTA committee member |10 per year per committee |

|ALTA committee member |10 per year per committee |

|MLTA Legislative Day/ALTA Lobby Day |15 points |

|MLTA summer convention |10 per year |

| | |

Special consideration may be given to applicants who serve as an active committee/chair/board member of Real Estate Boards, Bar Associations, financial or allied professional organizations or groups.

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

Position: _________________________________________________

Participation Date: _____________ Points requested: ________________

Verification of Attendance attached: _______

CERTIFICATION

By signing below, Applicant certifies that on this date their Michigan title insurance producer license is active and they are an active member of the MLTA as required by the Designation Program.

Submitted by: ______________________________________

Dated: ______________________

Points approved by Board:

_____ Land Title Industry Experience

_____ Land Title Education

_____ Professional Participation

_____ Continuing Education

_____ Total

By: ________________________________________ Date: _______________

Chairperson

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