CE Pre-Planning Form


Welcome! This form is used to request continuing education credit hours for an activity. All submissions are reviewed monthly by the IPCE Team and credit provided according to accreditation criteria and requirements. If there are any questions prior to completing this form, please visit the IPCE Scope Page and/or reach out to IPCE@cmh.edu.



A FEW REMINDERS BEFORE YOU START:


  • Please review the CE Submission Review Schedule for adequate lead times, submission deadlines, and review dates of form submissions. *If a CE Pre-Planning Form is submitted without an adequate amount of lead time, it may be denied for the IPCE planning process.


  • CE credit cannot be awarded to activities that have already been planned. This application asks for the need and general idea for an activity NOT the learning objectives, content, agenda, etc. Unfortunately, if an activity or series has already been planned it is not eligible for CE credit hours per accreditation policy.


 
 
 
 

The Planning Committee Lead provides leadership of the activity planning process. The Planning Committee Lead must be a subject matter expert and represent a profession included in the target audience.


Please include Name and Credentials.

 
 
 
 

*Mark all that apply. The target audience(s) is/are who the activity is intended for, not everyone that it is open to.

 
  • SINGLE Profession = one profession only
  • MULTI-Professional = 2 or more professions; participants may interact with speaker, but not each other.
  • INTER-Professional = 2 or more professions; participants learn about, with, and/or from each other through active collaborations and problem solving.
 

*If the activity start date is fewer than six weeks away, continuing education (CE) credit will most likely not be available due to required processing timelines.