All activities accredited after January 1, 2018 must comply with the. The National Standard applies to all situations where financial and in-kind support is accepted to contribute to the development, delivery and/or evaluation of accredited CPD activities. Has the CPD activity been sponsored by one or more sponsors? Yes No If yes, have the terms, conditions and purposes by which sponsorship is provided been documented in a written agreement that is signed by the CPD provider organization and the sponsor? (Attach a sample) If sponsorship has been received, please check all sources of sponsorship that apply Government agency care facility Not-for-profit Medical device Pharmaceutical Education or organization company company company Other please specify (should you require more space, attach a new page). Sponsor name Type of support Financial support In-kind support For-profit sponsor Amount received or Amount received or or anticipated to receive: anticipated to receive: Non-profit sponsor Financial support In-kind support For-profit sponsor Amount received or Amount received or or anticipated to receive: anticipated to receive: Non-profit sponsor Financial support In-kind support For-profit sponsor Amount received or Amount received or or anticipated to receive: anticipated to receive: Non-profit sponsor Financial support In-kind support For-profit sponsor Amount received or Amount received or or anticipated to receive: anticipated to receive: Non-profit sponsor the identification of the educational needs of the intended target audience; development of learning objectives; selection of educational methods; selection of speakers, moderators, facilitators and authors; development and delivery of content; and evaluation of outcomes s. ?
All activities accredited after January 1, 2018 must comply with the. The National Standard applies to all situations where financial and in-kind support is accepted to contribute to the development, delivery and/or evaluation of accredited CPD activities. Has the CPD activity been sponsored by one or more sponsors? Yes No If yes, have the terms, conditions and purposes by which sponsorship is provided been documented in a written agreement that is signed by the CPD provider organization and the sponsor? (Attach a sample) If sponsorship has been received, please check all sources of sponsorship that apply Government agency care facility Not-for-profit organization Medical device company Pharmaceutical company Education or company Other please specify (should you require more space, attach a new page). Sponsor name Type of support Financial support Amount received or anticipated to receive: In-kind support Amount received or anticipated to receive: For-profit sponsor or Non-profit sponsor Financial support Amount received or anticipated to receive: In-kind support Amount received or anticipated to receive: For-profit sponsor or Non-profit sponsor Financial support Amount received or anticipated to receive: In-kind support Amount received or anticipated to receive: For-profit sponsor or Non-profit sponsor Financial support Amount received or anticipated to receive: In-kind support Amount received or anticipated to receive: For-profit sponsor or Non-profit sponsor the identification of the educational needs of the intended target audience; development of learning objectives; selection of educational methods; selection of speakers, moderators, facilitators and authors; development and delivery of content; and evaluation of outcomes s. ?
provider-template-application-for-group-learning-ns-e.docx