For instructions on how to use this form, including timelines and templates, please visit https://education.aaaai.org/cmeinfo

A complete copy of AAAAI’s Legal and Privacy Notices, the terms of which are incorporated herein, can be found here

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What group has initiated this program? Please specify any constituency involvement including Leadership Institute, committees, interest sections, taskforces, workgroups, etc. who are involved in this activity. List “N/A” if not applicable.
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Select One:
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Registration
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Member Physicians, Non-Member Physicians, Allied Health, etc.
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Do you need to know of diet restrictions, guests, special event attendance, etc. Please describe in detail.
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This field is copied directly into the registration and credit claiming site. Please provide an engaging and grammatically correct paragraph as this will be the first thing potential registrants will see.
e.g. a place of business, venue, meeting point
Full street address required.
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Examples: A/I Physicians, Primary Care Physicians, Fellows-in-Training, Residents & Medical Students, Nurses, NPs, PAs, Dietitians, CRTs/RRTs, Researchers, Practice Managers, etc.
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List the planners of this activity. Please be sure to list full names and credentials.
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Please be sure to list full names and credentials
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List all individuals who will be presenting content, leading discussions or demonstrations, etc. Please be sure to list full names and credentials.
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Please limit to 6 or fewer people
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Needs Assessment & Learning Objectives

Priority will be given to projects that align with the AAAAI Needs Assessment, as outlined in the most recent Education Needs and Practice Gaps document.

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Keep the following statement in mind: Upon completion of this activity, participants should be able to...
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Funding
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Additional documents
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Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx xml.
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Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx.