ARIN Continuing Education Application

ARIN CONTINUING EDUCATION APPLICATION
Thank you for your interest in creating educational content for the Association for Radiologic and Imaging Nursing(ARIN) to enhance knowledge and skills in this field of Nursing. This application includes required information such as the course description, learning objectives, timed agenda, and reference list. Once submitted, your application will be reviewed by our Nurse Planner and then sent to the accrediting body for CE approval. Please complete all sections in this application as this is important for obtaining approval. We appreciate you taking the time to complete this application.
Presenter Information

Indicate background, experience with proposed content area, and highlight previous trainings provided on related topics (if any).
Presenter Name*

First NameLast Name
Presenter Credentials*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Email*
example@example.com
Primary Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Presenter Bio

Presenters are asked to provide a short bio (5-10 sentences) documenting their education, work experience or background, and specific expertise related to the subject matter or topic. They are also asked to provide a recent photo for use in marketing efforts. The bio and photo will be used to market the continuing education course on ARIN platforms.
Presenter 1 Biography*
Presenter Headshot/Recent Photo*

Please only submit in the following formats= png, jpg, jpeg
Cancelof
YesNo
Presenter 2 Name

First NameLast Name
Presenter 2 Credentials
Presenter 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Presenter 2 Primary Email
example@example.com
Presenter 2 Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Presenter 2 Bio

Presenters are asked to provide a short bio (5-10 sentences) documenting their education, work experience or background, and specific expertise related to the subject matter or topic. They are also asked to provide a recent photo for use in marketing efforts. The bio and photo will be used to market the continuing education course on ARIN platforms.
Presenter 2 Biography
Presenter 2 Headshot/Recent Photo

Please only submit in the following formats= png, jpg, jpeg
Cancelof
Any Other Presenters information
Please include First and Last Names, Credentials and Primary Email addresses for all other Presenters
Additional Presenter Biographies (Please indicate names in the biography text)
You may also choose to upload a text file in the next step for biographies and photos.
Other Presenter Headshots/Photos

Biographies may also be uploaded as word documents (optional)
Cancelof
Webinar Information
Program Name*
Please tell us the title of your Webinar
Date & Time
If this is a pre-planned session, please tell us the date and time of the session. It must be a minimum of 90 days notice. If this is to be pre-recorded, please indicate TBD.
In PersonOnline (Zoom or other recording platform)HybridOther
Number of Contact Hours for Continuing Education*
Note: One (1) Continuing Education hour = 60 minutes
Online LiveIn Person LivePre-Recorded (Asynchronous)Other
Discussion/LectureMultimediaExperiential Activities
Participant Engagement Questions:
YesNoNot Sure
YesNoNot Sure
If yes, what platform will be used for polls?
YesNoNot Sure
Technology Questions:
YesNoNot Sure
YesNo
YesNoNot Sure
Presentation Information
Interventional RadiologyProcedural SedationIntravenous AccessCOVID-19 relatedEthicsNuclear MedicineAdministration/Management/LeadershipClinical proceduralImaging – non-IREducationDiversity, Equity & InclusionNursing students and New GradsRadiation Safety / MRI SafetyNon-Imaging Nursing (Related to Rad care)Other
Diversity Areas: As part of the Diversity inclusion focus of ARIN, we are working to track and promote the presence of a variety of topic areas and populations in our CEU presentations. As status within a non-dominant group can have a dramatic impact on statistics, outcomes, and service delivery, please note all population groups directly addressed within your presentation.
RaceEthnicityDis/Ability (physical/mental impairment)Gender Identity (i.e. CIS, trans, Non-binary)Mental Health (diagnoses or stigma)Sexual OrientationAddictions (current or in recovery)Homeless (current or past)Religion (non-dominant religion)Age Groups (i.e., minors/adults/seniors)Veterans or Active MilitarySurvivorsRefugee and Immigrant (Foreign born)N/AOther
ChildrenAdolescentsAdultsOlder AdultsN/A
Student NursePeri-op procedural NurseMulti-disciplinary Imaging teamEducatorsRadiology NurseImaging AdministratorsNon-Radiology NursesInterventional Radiology NurseOther
Nursing theories and conceptsNursing practice, clinical knowledge, and skillsNursing research, programs, or practice evaluationsNursing management, administration, or policyNursing ethicsNursing clinical interventions, evidence-based models, and principles of clinical nursing practiceOther
Course Description
Please provide a draft outline of the continuing education course content. It should reflect a draft outline of the course.*
*Once the course has been approved, you will be required to provide copies of any handouts and PowerPoint Presentation.
Learning Objectives
Please provide 3-5 learning objectives describing what participants should be able to do upon completion of the continuing education course (i.e., apply new knowledge, skills, abilities). Please see information on how to write measurable learning objectives available at https://www.bobpikegroup.com/trainer-blog/5-steps-to-writing-clear-and-measurable-learning-objectives

Following this course, participants will be able to:
Objective 1*
Objective 2*
Objective 3*
Objective 4
Objective 5
Timed Agenda
Please outline the presentation topics and the approximate time for each topic. Include Q&A*
Webinar References
Reference List (Provide 2-3 acceptable references in APA format if possible)

Presenters should provide a copy of their reference list and/or any resource materials they plan to use in the development of the course. All references/resources should be recent, within the past 5-7 years unless seminal or historical in nature.
Reference 1*
Reference 2*
Reference 3
Any additional References
Please ensure each section has been completed to the best of your abilities before submission.

If you have any additional items to submit, or have any questions, please reach out to our Membership and Program Coodinator, Sarah Eidt, at info@arinursing.org

Note: Our application process has changed. Once you have submitted your application, we will reach out to you to confirm receipt within 2-3 business days. Once you have received confirmation, we will confirm next steps with you.

Thank you for your contribution to ARIN’s Continuing Education Courses!
Should be Empty:

ARIN CONTINUING EDUCATION APPLICATION

Presenter Information

Webinar Information

Participant Engagement Questions:

Technology Questions:

Presentation Information

Course Description

Learning Objectives

Following this course, participants will be able to:

Timed Agenda

Webinar References

Please ensure each section has been completed to the best of your abilities before submission.

Thank you for your contribution to ARIN’s Continuing Education Courses!