(b) Applicants for continuing education course sponsor shall submit the following information:

1. (1) Name, address, telephone number, and facsimile (FAX) number, if any, of the course sponsor;
2. (2) If the ownership of the course sponsor is a partnership, the names and addresses of the partners;
3. (3) If the ownership of the course sponsor is a corporation, the names and addresses of the officers and directors;
4. (4) If the ownership of the course sponsorship is a limited liability company, the names and addresses of the members and managers;

5. (5)

   1. (A) A course content outline describing the subjects to be offered during the approval period.
   2. (B) All course sponsors are approved for a period of twelve (12) months;
6. (6) A statement that each instructor meets the qualifications required by 17 CAR §§ 240-1110 and 240-1111;
7. (7) A statement that the course sponsor shall provide the licensee who successfully completes an approved course with a certificate of course completion that meets the requirements of 17 CAR § 240-1109;
8. (8) A copy of the certificate of course completion required under 17 CAR § 240-1109; and
9. (9) A statement that any facility utilized by the course sponsor shall be at a location approved by the board.