Center for Experiential Learning

Forms and Applications

Your interest in planning an educational activity with the Center for Experiential Learning (CEL) is appreciated! As an accredited sponsor of Continuing Medical Education, the CEL follows the standard policies developed by the Accreditation Council for Continuing Medical Education (ACCME). In keeping with ACCME regulations, we have developed the following forms to assist with your activity planning and implementation, as well as the completion of the application for credit.

In order to allow enough time for planning and documentation, as well as promotion of the activity, it is requested that materials be submitted to the CEL at least 90 days prior to the activity, while those ongoing activities (weekly, monthly, etc.) currently in progress require at least 60 days.

The following forms are available for you online or you may contact the CEL office at CMEOffice@urmc.rochester.edu to have the forms mailed or faxed to you.

Applications and Guidelines

Live Conference Activity Guidelines

Live Conference Application

RSS Application Guidelines

RSS Application

Grants & Exhibits

Commercial Support Agreement

Exhibitor Registration Agreement

RSS Reporting Forms

Financial Summary Form

Individual Session Cover Page

Outcomes Summary and Evaluation

RSS-Records-Checklist-2013-2014

RSS-Records-Checklist-2014-2015

 

Cert-Only Forms

Program Syllabus

Financial Summary Report Form

Misc. Forms and Templates

Attendance Import Spreadsheet

Attendance Import Instructions

Outcomes-Based Sample Evaluation Questions

Records Reporting Checklist

Review Planner/Presenter Disclosure

Speaker Content Declaration Form

Presentation Template Formats

Useful Tools

Presentation Tips