EPP Program Proposal Form
Submitting Partner Information
Education Partner
*
Name
*
First Name
Last Name
Email
*
example@example.com
Program Information
Program Name
*
Speaker/Presenter Name
First Name
Last Name
Program Length (hours)
*
Time Spent on Manufacturer/Product Specific Education (hours)
*
Description of Course
*
Learning Objectives
*
Format and Scheduling
Delivery Format (select all that apply)
*
In-Person
Virtual Instructor-Led Training (Zoom, Teams, etc.)
On-Demand
Scheduling
*
One-Time
Reoccurring
Course Date (if reoccurring, next/first instance)
*
-
Month
-
Day
Year
Date
Program Slides
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