Meeting Accreditation Form

AOA branches, special interest groups and other organisations (including industry) are encouraged to apply for CPD points for prospective meetings. These may include conferences, seminars, lecture series, AOA branch meetings, or other educational activities to support CPD.  To apply for points, please fill out the form below.  Please note that the AOA does not grant points retrospectively.


Applications will not be considered unless a copy of the event program showing specific timings, a copy of the certificate of attendance to be issued, and the actual evaluation form are submitted with this form.


Meeting details

* Meeting title  
* Start date:
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* End date:
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* Meeting Venue & Address:  
* Number of meeting hours
(exclude breaks and social events)
 
Please upload meeting program

Participant Details

Nature of participants

Registration Fee
* Expected attendance  
* Target Audience   

   
Please upload sample attendance certificate

Funding Details

Funding details

Funding Level:
Sponsors
Outline any financial or other inducements offered to delegates:

Facilitator Details

Facilitator 1 name:
Facilitator 1 qualifications/expertise:
Facilitator 2 name:
Facilitator 2 qualifications/expertise:

Educational Details

Teaching methods to be used






Outline any specific skills/knowledge participants might acquire during the meeting
Will this meeting be evaluated after its conclusion?:
lIf so, how will the meeting be evaluated?:
Please upload sample participant evaluation / feedback form:
Assessment(s) (if applicable) :
Please provide a summary of the learning aims of the meeting :
Please provide a summary of the learning outcome(s) of the meeting :

Event Organiser Details

* Organiser name:  
* Address 1  
Address 2
* Suburb  
* State  
* Postcode  
* Country  
* Telephone  
Fax
* Email  
Please provide details of the organiser’s experience in delivering educational and/or scientific activities :

Nominated Meeting Contact (if different to Event Organiser)

Contact name:
Address 1
Address 2
Suburb
State
Postcode
Country
Telephone
Fax
Email