1 2 3 4 5 6 7 Thank you for planning an ASTRO educational activity. This form includes program planning information ASTRO is required to obtain by the Accreditation Council for Continuing Medical Education to be able to offer continuing education credit for the activity.You don't need to log in to complete this form, but logging in with your ASTRO credentials will allow you to save the form and return to it, if needed. Once logged in, you will see a Save Draft button at the bottom of each page. To return to the form, log in to the ASTRO Academy and paste the URL for the form, https://academy.astro.org/content/astro-educational-activity-planning-form, into your browser tab.Please contact ASTRO eLearning with any questions.Planner Information Name * Please include professional suffixes (e.g, MD/DO/PhD). Affiliation * Please enter your institution(s)/practice name. Email * Institution/Practice Type * - Select -Academic / University SystemCommunity Based SystemGovernment / Public SectorIndependent Contractor / Locum TenensIndustryPrivate PracticePrivate Practice / Community Based SystemOther Institution/Practice Type Other Leave this field blank
