1 Start 2 Complete Name * Email * What kind of activity would you like to add to the Academy? * Webinar Online Course Other... What kind of activity would you like to add to the Academy? Other... When would you like the activity to post? * When should the activity expire? (Activities that have CME can have a 3-year span before having to be reassessed.) * Would you like the activity to have CME? If so, you will need completed planning worksheet and presenter COI. * Yes No Do you want your activity to have a certificate of attendance? Yes No Do you need an evaluation specific to your activity? * eLearning has a standard evaluation for all eLearning activities, but it can be customized to your needs. Yes No Is the activity free or will there be a registration fee? * If your activity will be free for some member types, but have a fee for others, chose the Registration Fee option. Free Registration Fee What is the fee structure for this activity? (Member, Nonmember, member-in-training) Does the activity have restricted registration? Ex. Member only, member-in-training only. * Yes No Who should registration be limited to? What are the GL account codes that should be put on the product in Aptify? * What account code should eLearning staff time be coded to for setting up the activity in the Academy? * What will your activity consist of? Video PDFs MP3 Audio File Other... What will your activity consist of? Other... Will you be using the eLearning Zoom to host your Webinar?? Yes No Who will be setting up the Zoom? Do you need training for Zoom? If so, who should be included in the training? Who will be running the webinar as the host? Do you want a recording of the webinar posted in the Academy post meeting? Yes No Do you want the recording available to only the live webinar registrants? Yes No Name of Activity Description of Activity Please provide a description of the activity that reflects the content that will be covered. Objectives Please provide 1-3 objectives. Speakers List the speakers for this activity. These can be updated as speakers are added. Target Audience Who is the target audience of this activity? Leave this field blank
