CME Program Announcement Request Form

Constituent organizations may submit conference information for the AAPA CME calendar and for posting on the AAPA website free of charge.

All other organizations must receive AAPA CME approval and pay a listing fee prior to posting on the AAPA CME Calendar.

If the event has been approved for AAPA Category I CME, the number of hours will be included in the listing. The fee is $250.00 per month per listing. Please contact clinicalaffairs@aapa.org with any questions or to discuss other opportunities to promote your event.

Applications for conferences are due 4-6 weeks in advance and will be posted within 5 business days or once the posting is paid in full. Listings are posted in order by date of conference. If two events occur on the same day they are posted by date the request was submitted to AAPA.

Meeting Information for AAPA Website and Publications:

I am a: *

Meeting Start Date (MM/DD/YYYY): * +

Meeting End Date (MM/DD/YYYY): * +

Program Title: *

Meeting Description:

Provider (full name, no acronyms): *

Meeting Location: *

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Will this program occur within 250 miles and six months (preceding or following) AAPA's Annual Conference? Both qualifiers must apply in order to check the Yes option.

AAPA 2024
May 18-22, 2024 Houston, TX

Yes

No

Meeting Contact Information:

Name:

Phone Number:

Email Address:

Website for More Information:

Link to Register:

From which of the following organizations will you be applying for CME/CE credit? Check all that apply.

Contact Information for the Submitting Person:

This contact information is for internal use only and will not be part of the listing.

Name:

Phone Number:

Email Address:

Educational Grants:

Contact AAPA for instructions prior to requesting any educational grants to support this program.

List any commercial organizations that may be asked to support this conference:

AAPA	AOA	ACPE	AMA
ANCC	AAFP	One of the ACCME sponsors	Other (please specify) Other (please specify)