CE Approval Form

INSTRUCTIONS:

Please submit a copy of the scientific program that you wish to have the CE Committee review for continuing education credit.  Information should include:

1] Title of Program:

2] Program Dates and Location:

3] Name and address of Sponsoring organization:

4] Name and address [include e-mail when possible] of the Course coordinator:

5] Course description if not obvious from the title

6] List the speaker of each talk or scientific session;
- a short biographical sketch is required of all speakers other than ophthalmologists or certified orthoptists; data to include name, title, degree/certification or professional expertise [ie pharmacist, ophthalmic photographer, geneticist]

7] List the # of core & non-core CE hours requested for each talk or scientific session
- list start/end times of each talk,  panel discussion or question/answer period

The American Orthoptic Council assigns credits on a 1:1 basis in CORE and NON-CORE content areas.To expedite your application please indicate the number of core and non-core credit hours you wish to obtain for each talk as well as a total number for the entire program. [See following guidelines]

Feel free to contact the home office or CE committee chairperson if you have any questions regarding this application process.

Application Fee: $30 per credit hour, check payable to AOC and mailed to the home office (see address below)

Submit application to:
Mary De Young Smith ([email protected])

Include information 1-7 as described on the front page of instructions.

Questions? Contact:
AOC Home Office
[email protected] or [email protected]
3914 Nakoma Road
Madison, WI 53711 or: 608 233-5383

For information regarding CORE and Non-Core topics for AOC CE hours refer to CE Guidelines