Midwifery Education Accreditation Council
Continuing Education Session Application
Name of CEU Program:
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Name of main program sponsor:
First Name
Last Name
Email of main program sponsor:
Re-type ONLY the first three words of session title:
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Session title:
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List the name and credentials of each speaker/presenter for this session:
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Upload a full-length resume or CV for each speaker/presenter
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Length of session in minutes:
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Describe teaching/delivery methods:
List 3 - 6 measurable behavioral objectives or learning objectives/outcomes:" The student will be able to..."
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Outline the session content, including number of minutes for each topic:
Describe how learning objectives/outcomes will be assessed:
Is this session available via distance education/self-study/online?
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Yes
No
Upload a sample pretest, if used in this session:
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Upload a sample mid- or post-test for this session (required):
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Provide references or bibliography for this session (references should be in APA or similar format):
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Upload a sample of the Speaker/Session Evaluation form* used in this session:
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Submit
* Visit MEAC's website for a sample Speaker/Session Evaluation form.
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