1 Start 2 Complete
This form is used by the Education Committee to review and approve planned accredited educational activities and to allocate resources to support these activities. Submission of the intent to apply does not mean your activity will be approved by the committee. The committee will review all applications on an annual basis. Submissions for 2023 are taking place now through November 15, 2022. If you do not complete this form by November 15, 2022, your event may or may not be approved to move forward in the accreditation process and/or receive organizational support. For questions regarding this form, please email education@childrensmn.org.
Please enter your department
Please enter department Director and/or Manager
Enter the name of the person who will be responsible for coordinating, planning, and follow-up for the education event(s).
Please list out the educational activities your department is planning. Include the name of the activity, how often you will be meeting, the month of the year if planning a conference, and the type of accreditation you are seeking: CME, ANCC, ACPE, Board of Nursing, list others not provided.
You may upload a file here if you have more than 5 activities planned.
Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.