CLE Event Request Form

Event Details

Sponsoring Group or Organization:

Contact Person's Full Name:

Email of Contact Person:

Person responsible on the day of the event:

Email of person responsible on the day of the event:

Title of the Event:

Date of the Event:

Event Format:

In-person attendees onlyVirtual attendees onlyHybrid (in-person and virtual attendees)

Please specify the other event format:

Event Details

What room/building will this event be held in?

In the next question, please indicate registration start time, program start time, any scheduled breaks, program end time.

*Please note that CLE credit is accredited for presentations that are a minimum of 1-hour and then in 30-minute increments. For example, a 1-hour presentation may be accredited 1.0 credit, a 1.5-hour presentation may be accredited 1.5 credits, a 2-hour presentation may be accredited 2.0 credits, etc. 15-minute increments will not be accredited. As a result, please schedule all presentations (including Q&A) to be in increments of 30 minutes.

Event Schedule (Agenda)/Timing (type it out or upload it):

Upload your schedule (agenda)/timing here (if you did not type out your schedule/timing above):

Total Hours of Instruction (not including breaks, meals, or introductions):

Numeric values only.

Topics to be covered:

Presenter Information

If there are multiple presenters for this event, please use the "add another response" option below. If the event has more than 6 presenters, please list them in the next question.

Presenter First and Last Name:

Presenter Title/Occupation:

Topic(s) to be covered:

Does presenter seek CLE credit? If so, what jurisdiction?

Length of Presentation:

Draft of your publicity (if you have it):

Will the event be open to all interested?

Yes, this event will be open to the publicNo, this event is invitation-only

Your Registration Fee, if applicable (excluding CLE registration fee):

Expected number of attendees:

Event Details

Do you want to opt-out of recording your CLE event?

YesNo

Is there anything else we should know?