Conference Template for Data Collection 
Please fill out the following template with information regarding your conference sessions.  

Part 2: Information pertaining to each individual session/activity.
Part two requires information pertaining to each session/activity taking place at your conference.  Part two will need to be filled out and submitted in its entirety for each session you wish to seek CM credit for.

How to fill out this form:  	
1)  	Provide only the information requested in the field.  
2)  	Please provide information about speakers that is relevant to establishing their credibility as experts with something to say about the topic. 
3)	Use basic punctuation only (e.g., period, comma, parentheses, semicolon, colon) and phrase comments as sentences. The APA online system will strip out all other punctuation (bullets, bold, italics, underlining) and run text submitted together into one paragraph. Make sure your information will be readable in this format.	

You will need to enter the following information for each eligible session, 
part or activity:	
Activity/Session  Details	
Name of Session 
		
Start Date  (mm/dd/yyyy)		
End Date   (mm/dd/yyyy)		
Start Time (a.m. /p.m.) 		
End Time (a.m. /p.m.)		

Topic: choose the topics relevant to your activity so that members may search online by topic.

	Citizen Participation	

	Climate	

	Comprehensive Planning	

	Demographics	

	Density	

	Economic Development	

	Environment	

	Green Communities	

	Hazards	

	History	

	Housing	

	Infrastructure	

	Law	

	Mixed-Use	

	Neighborhoods

	
New Urbanism

	Parking	

	Parks and Open Space	

	Property	

	Revitalization	

	Signs	

	Site Plans	

	Small Towns	

	Smart Growth	

	Social Equity	

	Streets	

	Technology	

	Transportation	

	Urban Design	

	Zoning	
						
Session Description  
(4000 char max)		
Please clearly describe the planning-related educational objective that this training achieves (e.g., what AICP members will learn). Note that the content must be designed to teach subject matter in appropriate depth and scope for the level of a typical AICP member (e.g., a planner with at least two years of experience). 
Please note:  description will be displayed to all members. 		
Instructors/Speakers – No maximum number of speakers is placed per session but a minimum of one is required.
An expert is defined by APA as a professional who has made a contribution to the profession through practice, teaching, research, or publications; completed works that proclaim individuality and mastery of the principles of planning taught; and whose work demonstrates outstanding quality and professionalism.	
Speaker 	Name 
		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker 	Name 
		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker 	Name 
		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker 	Name 
		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker 	Name 
		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Criteria for CM approval  	
Number of Credit Hours Requested –For This Session
(1.0 contact hours = 1.0 CM credits). 
Non-instructional activities or breaks cannot be included toward the contact hour(s) and should be discounted from CM credit total
		
Law Credits Requested (Optional) 
(session time meeting Law Criteria e.g. 1.5 contact hours = 1.5 CM credits) 		
Description of How the Event Will Meet the Law Requirement
(2000 char max)
Providers must demonstrate that the content of the activity is related to planning law, such as environmental law, land use law, redevelopment law, administrative law, housing law, etc. The event must be closely related to recently enacted planning laws or recent case decisions or trends in existing planning laws or case decisions. Please note that events related to local-level regulations, policies and ordinances (including zoning), political movements, policy recommendations, and policy initiatives are not eligible for law credit. Training on law must constitute a majority of the content of the event.      
For more information please reference the CM Provider Handbook located on the APA website at www.planning.org/cm/providers   		
Ethics Credit Requested (Optional)
(session time meeting Ethics Criteria e.g. 1.5 contact hours = 1.5 CM credits )
		
 Description of How the Event Will Meet the Ethics Requirement  
(2000 char max)
Providers must demonstrate that the content of the activity focuses on training planners on the standards of ethical behavior according to the AICP Code of Ethics and Professional Conduct. While general ethics courses, local ethics laws, and ethic codes from other professions can introduce relevant issues as well, the AICP Code focuses on a system of moral principles specific to professional planners. 
For more information please reference the CM Provider Handbook located on the APA website at www.planning.org/cm/providers		

Verification 	

Please ensure that you have read and understand the following content and delivery criteria.
1.	Criteria for the content of CM activities: Activities must (a) meet a planning-related objective, (b) be unbiased and non-promotional and (c) communicate a clearly identified educational purpose or objective. 
2.	Criteria for the delivery of CM activities: Activities must (a) be lead by one or more experts on the subject matter discussed, (b) use learning methodologies and formats that are appropriate to the activity's educational purpose, (c) involve the use of materials that do not include proprietary information, (d) be timed in a manner consistent with the time for which the activity was registered for CM credit (75 minutes = 1.25 CM credits) and that only the portion of the activity meeting CM criteria is registered for CM credit. 
I have read and understood the above, and agree that the event I am submitting meets these criteria.

Type name:_______________________________________________

Date:___________________________________________________