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AFCC MN event request form, CE/CLE credit form, and marketing 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
If this is a multiple day event, list dates here.
Event Format
Virtual
In Person
Hybrid (both)
Venue if in person or hybrid
Please list fees, registration start and end dates and any discount codes and amounts.
Choose your marketing promotions.
register now
1 month out
3 weeks out
2 weeks out
1 week out - last chance
Email Text
Continuing Education (CE) boards to apply to (pick all that apply):
Judicial Branch (ADR)
MN Board of CLE
MN Board of MFT
MN Board of Psychologists
MN Board of Social Work
MN Board of Behavioral Health and Therapy - LADC/LPC/LPCC
Amount of credits to apply for: (please specify amount, e.g. 3.0):
Standard
Ethics
Elimination of Bias
Cultural Competency (MFT Only)
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)
Upload image files (jpg, png, etc.)
Upload File
Upload supported file (Max 15MB)
The minimum number of participants needed to successfully conduct this training.
How many days prior to the start of this training will cancelation or rescheduling be determined if above number is not met?
Select an option for above question
Cancel
Reschedule
Other
Submit
Thanks for submitting!
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