Student Information

NYS Continuing Education – Student Information

I
COURSE SUMMARY
Selected Courses
Stripe Total
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
NYS Home Inspector License Number
Last 4 digits of SSN or NY Driver’s License
Used for identity verification and certificate issuance. Required by NYS for CE compliance.
County Of Residence
Attestation of Identity and Compliance
This attestation is required by New York State for Continuing Education compliance. By checking the box below, you confirm your identity and authorize the use of your submitted information for certificate issuance and regulatory reporting.

USDDescription

NYS Continuing Education – Student Information