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

Part 1: Information pertaining to your entire conference.
Part one requires information pertaining to your entire conference and will only need to be filled out and submitted once.
Conference Details	
Name of Conference
		
Short Name 
for Online Calendar (optional)		
Event Code
This is the code your organization uses to identify the event. (optional) 		
Start Date  (mm/dd/yyyy)		
End Date   (mm/dd/yyyy)		
Start Time (a.m. /p.m.) 		
End Time   (a.m. /p.m.)		
Conference Location: 
City, State    		
External Web Site Link
It is recommended that you provide a link directly to the event details, making it easier for AICP members to find (and register) for your training.  (optional)                                

Conference 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). Content intended for planning commissioners or elected officials, or that are basic in nature (e.g. subject matter taught in planning school) are not eligible. Description will be displayed to all members on www.planning.org/cm/search		

Verification (Please Sign and Date)	

I verify that the information submitted in this form is complete and accurate to the best of my knowledge. I also verify that the course information and content will not be substantively changed from the time it is submitted for APA's review until it is delivered. I also agree not to charge AICP members a higher fee or a surcharge for attending my CM approved course offerings. Finally, as an APA Chapter I have read through and agree to the APA Sponsorship Policy

**Note change to policy**

 Criteria for the administration of a multipart event approved for CM credit: The conference, not each 
         individual session must:
(a) Use mechanisms to record attendance and evaluate the content. 
(b) Have a point of contact that is responsible for the proper administration of the event.

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Type  Name                                                                                                                                                                                  Date