FCDN Speaker/ Presenter Information Form

Please complete the information below for registration with and approval from the DFS as an instructor for continuing education credits from the seminar.

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Is your mailing address the same as your business address above?  If no, please enter your mailing information below.

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Have you presented at MCDN/FCDN in the last 3 years?

Are you employed by the Florida Department of Financial Services?

Has an administrative action ever been taken against you for violation of Statutes or Rules in Florida or any other state?

Have you ever been convicted or plead nolo contendere to a felony?

PLEASE ANSWER ALL OF THE FOLLOWING. (TWO (2) ARE REQUIRED FOR DFS APPROVAL).

I have a minimum of 5 years of substantially full-time working experience in the last 10 years in the subject matter being taught

I have completed a course on training techniques or methods of instructing adults as certified by a nationally recognized course provider whose purpose is to review, evaluate and rate such a course. Such a course was a minimum of 40 hours of instruction. 

I have a minimum of 40 hours of teaching experience in the last two years. 

I have a professional designation from a recognized industry association in the line of business of the subject being taught. 

I have a degree from an accredited school in the subject matter being taught. 

I am a member of the Florida Bar Association with a minimum of two years of law practice or counsel in the subject being taught. 

AFTER HITTING 'SUBMIT' YOU WILL BE REDIRECTED TO A NEW PAGE AND PROVIDED A LINK TO E-MAIL YOUR MOST CURRENT RESUME OR CV.

IF YOU HIT 'SUBMIT' AND ARE NOT REDIRECTED, YOU MAY HAVE MISSED ANSWERING A QUESTION ABOVE. IT WILL BE COLORED IN RED.

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