Please Note: To complete the application below, you must have previously completed the AAAAI Joint Providership request

Visit the Joint Partnership Process page for additional instructions & resources.

The American Academy of Allergy, Asthma & Immunology (AAAAI) takes data privacy seriously. We expect our educational partners to comply with this policy as part of the accreditation process for their activities.

AAAAI Legal & Privacy Agreement

Review the complete AAAAI Legal and Privacy Notice
 

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I agree not to share, sell or otherwise disclose any of the personal information collected about registrants/learners.
I agree to ensure a method exists by which learners can 'opt out' of receiving communications from our organization.
ACCME Standards Agreement

Review the PDF icon ACCME Standards for Integrity and Independence in Accredited Continuing Education
 

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AgreeDisagreeNeed further details
I agree to exclude owners and employees of ineligible companies from participating as planners or faculty for this activity
I agree to ensure that all educational activities presented to learners are fair and balanced
I agree not to share the names or contact information of learners with any ineligible companies without their explicit consent
I agree to ensure all planners and faculty report to AAAAI all financial relationships with ineligible companies within the last 24 months
I agree to disclose all relevant financial relationships to learners before they engage in any accredited education
I agree to ensure that educational activities are separated from marketing by ineligible companies
I agree to ensure that activities which are part of the event but NOT accredited by AAAAI will be clearly labeled and communicated as non-accredited programming
Activity Details
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Educational grants from pharma or other product companies that are ineligible for hosting CME activities.
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Select one:
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AAAAI sent a unique code for your activity after approving the initial request form.
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Registration
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Please detail the registration fee breakdown for your activity (ex: Cost for: Member, Non Member, FIT, Allied Health, etc.)
Do you need to know of diet restrictions, guests, special event attendance, etc. Please provide a list of the questions to ask.
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Mailing address and name of individual the collected registration fees (check) should be sent to.
Needs Assessment & Learning Objectives

Please share how your organization will determine the educational gaps/needs for your target audience and how those needs will be addressed by your activity.

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Keep the following statement in mind: Upon completion of this activity, participants should be able to...
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The list below includes the Competencies of ACGME/ABMS, Institute of Medicine, and Interprofessional Education Collaborative, or you may enter other competencies recognized by your organization. SELECT ALL THAT APPLY
Template Forms
Download the necessary forms here:

File Faculty Template.xlsx

Office spreadsheet icon Estimated Budget Template.xls

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Upload the completed Faculty template file
Files must be less than 2 MB.
Allowed file types: pdf doc xls xlsx.
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Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx ppt pptx xls xlsx.
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Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Additional documentation
If you have additional documents that will help explain/support your application, attach them here:
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.