CM Partnership Multi-part Event Activity Form

In order to apply for CM credit for your event, please fill out this form. If you have any questions please contact by email the Professional Development Officer.

"*" indicates required fields

Point of contact (Name)*

First Last

Point of contact (Organization)

Point of contact (Title)

Point of contact (Email)*

Point of contact (Phone)*

Please upload one (1) Word Doc with the required information for each event / activity.*

Accepted file types: .doc, .docx; Max number of files: 5

Drop files here or

Accepted file types: doc, docx, Max. file size: 32 MB, Max. files: 5.

Requirements for each event:

Include the event's title, location (city & state), date, start and end times, and number of CM applied for, objective of the event and benefit for GPA Members, projected attendance and audience, event’s relevance to the planning community, description of budget for the event, anticipated role of GPA (including any monetary contribution requested), description of the Event/Sessions, description of how the session meets the criteria below.

Also include the moderator's name, email, phone number, and the moderator's relevant & notable achievements (100 - 400 words).

Include up to 5 speakers with their name, organization, title, email, phone number, and the speaker's relevant & notable achievements (100 - 400 words).

Acknowelgement*

I Acknowledge that all publicity, handouts, other materials will include recognition of the Georgia Chapter as a partner/co-host and that point of contact commits to distributing sign-in sheets and session evaluation forms

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Name

This field is for validation purposes and should be left unchanged.

CM Partnership Activity Form

CM Partnership Multi-part Event Activity Form

Join the GPA!

Resources

Quick Links

Members