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AFCCMN event request for submission form.
First Name
Last Name
Email
Todays Date
Event Type
Conference
Training
Education (ie: Lunch and Learn)
Other ( non AFCC MN events)
Event Name
Event Description
Event Date
Event Format
Virtual
In Person
Hybrid (both)
Venue if in person or hybrid
Continuing Education (CE) boards to apply to (pick all that apply):
Judicial Branch (ADR)
MN Bd of CLE
MN Bd of MFT
MN Board of Psychologists
MN Board of Social Work
Type of Credits to apply for: (please specify amount, e.g. 3.0):
Standard
Ethics
Elimination of Bias
Learning Objectives- Detailed Agenda - specify time of presentation, title of presentation, speaker; include breaks, and lunch (if a working lunch, please include title and speaker)
Speakers/Bios
Lead Trainer (person Education/Training Committee Liaison will communicate with):
Education/Training Committee Liaison (person Admin team will communicate with):
Any additional ionformation you think would be helpful.
Upload document files (Word, PDF, etc.) named to match questions above.
Upload File
Upload supported file (Max 15MB)
Submit
Thanks for submitting!
AFCCMN event request for submission form.
First Name
Last Name
Email
Todays Date
Event Type
Conference
Training
Education (ie: Lunch and Learn)
Other ( non AFCC MN events)
Event Name
Event Description
Event Date
Event Format
Virtual
In Person
Hybrid (both)
Venue if in person or hybrid
Continuing Education (CE) boards to apply to (pick all that apply):
Judicial Branch (ADR)
MN Bd of CLE
MN Bd of MFT
MN Board of Psychologists
MN Board of Social Work
Type of Credits to apply for: (please specify amount, e.g. 3.0):
Standard
Ethics
Elimination of Bias
Learning Objectives
Detailed Agenda - specify time of presentation, title of presentation, speaker; include breaks, and lunch (if a working lunch, please include title and speaker)
Speakers/Bios
Lead Trainer (person Education/Training Committee Liaison will communicate with):
Education/Training Committee Liaison (person Admin team will communicate with):
Any additional ionformation you think would be helpful.
Upload document files (Word, PDF, etc.) named to match questions above.
Upload File
Upload supported file (Max 15MB)
Submit
Thanks for submitting!
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