OOTA CE Setup Request

Please use this form to alert OOTA staff to your upcoming continuing education event. Thank you!

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This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Is the Host a Member of OOTA?(Required)

Yes

What is the TITLE for your continuing education event?(Required)

Brief course description(Required)

Learning objectives (at least 3)(Required)

CE Presenter(s) name(s) and credentials(Required)

Presenter 1: Email

Presenter 2: Email

Brief Bio for presenter(s)(Required)

What OOTA District or Special Interest Section (SIS) is hosting this event?(Required)

If you do not represent a District or a SIS, please indicate host organization.

What is the DATE for this continuing education event?(Required)

Start Time of event [Eastern Time](Required)

CE Length (please be specific, e.g. 1.5 hours)(Required)

What is the event format?(Required)

In-person

Live webinar

Hybrid (both in-person and virtual participants)

What is the in person location (name and address)?

Will this continuing education event be recorded to be used as an on-demand webinar on the OOTA website?

Yes

Registration capacity (will be up left open to max of 275 unless the speaker plans for small breakout groups, etc.)(Required)

If there is anything specific you would like communicated in the confirmation email to registrants, please share that here.(Required)

Any additional comments/questions/requests?

Please upload any additional materials (e.g. quiz questions/answers, handouts, flyers, etc.)

PLEASE NOTE: At least 5 quiz questions and their answers should be provided. Ideally, please upload a word.doc or google sheet with this information. Thank you

Max. file size: 80 MB.

OOTA CE Setup Request

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