*
Eenter the full name of the person submitting the request:
*
Enter the email address of the person submitting the request:
*
Enter the phone number of the of the person submitting the request:
*
Is this webinar a single instance or is it part of a series of webinars?
*
*
Enter the title or topic of the webinar for which you are requesting approval:
*
Please enter a description you would like to appear of the main registration page for this webinar.
*
Enter the date of the proposed journal club:
*
*
*
Enter the date you would like registration to open: (Please allow for 2 weeks from the date when all faculty/planning committee have updated their disclosure before registration can open)
*
What gap in our members' knowledge or practice of allergy/immunology will this activity address? Why is journal club the best way to address this gap? Please be specific, and cite sources.
*
Please list the learning objectives for the webinar
*
Enter the name(s) of the planning committee member(s) for the webinar or series:
*
Add the name(s) of the individuals who will moderate this VJC.
*
Enter the name(s) of the faculty member(s) who will be leading the journal club:
Provide the text to use as a label for any documents you would like to attach to the course page
Upload a PDF of any reference materials that will be discussed. MUST be in PDF format.
Files must be less than 2 MB.
Allowed file types: pdf.
Files must be less than 2 MB.
Allowed file types: pdf.