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 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 +
Points / 25 / 35 / 45 / 55 / 65 / 75 / 95 / 115 / 135

Land Title Education:

Completion of ALTA Home Study Course I and Course II / 50 per course
Attendance of MLTA seminars and/or workshops (1 day event)1 / 50 per seminar
Attendance of non-MLTA educational conference (2+ days)2 / 40 per conference
Attendance of non-MLTA seminars and/or workshops (1 day event)2 / 25 per seminar
Underwriter & other industry related webinars2 / 10 per webinar
Prepare original materials for seminars & licensing courses2 / 25 per seminar
Teaching/Speaking at seminars or classes2 / 10 per seminar

1: Points can only be accumulated for attendance to a single MLTA session on the same subject matter held in different geographical locations

2: Non-MLTA conference, seminar or workshop to be relevant to title industry and may need pre-approval

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: ______

Materials attached ______Prepared materials _____ Presented materials ______

Event: ______

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Event: ______

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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

MLTA committee co-chair 15 per year per chair

Attendance of MLTA Legislative Day/ALTA Lobby Day 15 per day

Active MLTA committee member 10 per year per committee

ALTA committee member 10 per year per committee

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: ______

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Position: ______

Participation Date: ______Points requested: ______

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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