Commercial Support Agreement

Commercial Support Agreement

Chi Eta Phi Sorority, Inc. ®
A commercial interest, as defined by the American Nurse's Credentialing Center (ANCC), is any entity producing, marketing, reselling, or distributing healthcare goods or services consumed by or used on patients, or an entity that is owned or controlled by an entity that produces, markets, resells, or distributes healthcare goods or services consumed by or used on patients. Nonprofit or government organizations, non-healthcare-related companies, and healthcare facilities are not
considered commercial interests.

Commercial support is financial or in-kind contributions given by a commercial interest that are used to pay for all or part of the costs of a CNE activity.

Note: Organizations providing commercial support may not provide or joint provide an educational activity.
Title of Educational Activity*
Activity Location (if live)
Activity Date (if live)

MonthDayYear
Date
Name of Commercial Interest Organization*
Name of Individual Activity Applicant*

First NameLast Name
Total amount of Commercial Support*
Complete description of all Commercial Support provided including both financial and in-kind support*
UnrestrictedRestricted
Speaker honorariaSpeaker expensesMealOther
* Commercial interest may request that funds be used to support a specific part of an educational activity. The Individual Activity Applicant may choose to accept the restriction or not accept the commercial support. The Individual Activity Applicant maintains responsibility for all decisions related to the activity as described below.
1. All organizations must comply with the ANCC Content Integrity Standards for Industry Support in Continuing Educational Activities which is available on the ANCC Accreditation web page.

2. This activity is for educational purposes only and will not promote any proprietary interest of a Commercial Interest organization providing financial or in-kind support.
- The CIO will not recruit learners from the educational activity for any purpose
3. The Individual Activity Applicant is responsible for all decisions related to the educational activity. The Commercial Interest organization providing financial or in-kind support may not participate in any component of the planning process or implementation of an educational activity, including:
- Assessment of learning needs and professional practice gap
- Learning outcomes
- Selection or development of content
- Selection of planners, presenters, faculty, authors and/or content reviewers
- Selection of teaching/learning strategies
- Evaluation methods
4. The Individual Activity Applicant will make all decisions regarding the disposition and disbursement of commercial support in accordance with ANCC criteria.

5. All commercial support associated with this activity will be given with the full knowledge and approval of the Individual Activity Applicant. No other payments shall be given to any individuals involved with the supported educational activity.

6. Commercial support will be disclosed to the participants of the educational activity.

7. Commercial Interest Organizations may not exhibit, promote or sell products or services during the introduction of an educational activity, while the educational activity takes place or at the conclusion of an educational activity, regardless of the format of the educational activity.

Statement of Understanding
Individual Activity Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Individual Applicant Signature*

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Commercial Interest Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Should be Empty: