Midwifery Education Accreditation Council

Midwifery Education Accreditation Council

Continuing Education Application
Please review the Cultural Compentency Section of MEAC's Continuing Education Program Guidelines Document in order to submit the application.

If you need to stop and return to your application later, scroll to the bottom of whatever section you are working on and click the Save button.

Section 1 - Sponsor Information
Name*
Sponsoring Organization*
Phone
Email*
Co-Sponsor?
Co-Sponsor Name, Organization, Email

Section 2 - Program Information
Program Title*
Target Audience
Delivery Type*
First Offering Date*
Location of Program if Offered In-Person

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Program Website
Contact Name & Email (if different than sponsor info)
Contact Hours Requested*
Number of Individual Sessions in Program*
I have reviewed MEAC's Cultural Competencies*

Section 3 - Planning & Evaluation
Committee Members (CPM, CNM, LM)
Note that the planning committee must include at least one CPM, LM, CNM, or CM.
Describe how a CPM, LM, CNM, or CM participated in planning session, content development, and evaluation of the program.
Why this topic?
How will attendance be verified?*
How will records be retained for the required 7 years?
Name of the person who will maintain the records.
The program brochure or flier may:
- Be in draft form
- Be a website (provide the URL below)
The program brochure should include:
- Name of the program
- Name of the sponsoring organization(s)
- Dates and schedule with allocation of expected session times
- Cost of attendance
- Names and credentials of presenters
- Topics presented
- Target audience
- Number of contact hours to be awarded
- Which organization(s)/agency(ies) have approved the program for continuing education credit (or are in the process of approving)
Upload Program Brochure*

Cancelof
The Contact Hour Attendance/Award Certificate given to attendees must include:
- Name and Identification Number of the attendee
- The number of contact hours the attendee has been awarded
- The title and date of the program
- The MEAC contact hour identification number (supplied to you in your approval letter from MEAC)
- Last four numbers of participant’s social security number (XXXX SS#)
- Sponsor's name and contact information
- The words, "The Midwifery Education Accreditation Council approved this continuing education program. See www.meacschools.org for more information.
Visit MEAC's website for a sample Contact Hour Attendance/Award Certificate
Upload Program Completion Certificate (example on MEAC's CEU website page)*

Cancelof
Upload Program Evaluation *

Cancelof
If Multiple Sessions, Upload CEU Summary Table (available on MEAC's CEU website page)

Cancelof

Section 5 - Session(s)

Click + Add Session to add multiple sessions
Session Details*
Session Length in Minutes*
Upload Presenter CVs (label files clearly)*

Cancelof
Upload Presenter Evaluations for Each Session (label files clearly)*

Cancelof
Is this distance education?*
Please describe the platform to be used, how attendance will be tracked and verified, and engagement strategies for this session.
Upload Post-Test(s) (if distance education)

Cancelof

If you would like to calculate your total CEUs, you may use this section. Fill in the table and the rest will auto-calculate.

Session Minutes Entries (leave unused session blocks blank)

Rows	Session Name	Session Length in Minutes
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Session 11
Session 12
Session 13
Session 14
Session 15
Session 16
Session 17
Session 18
Session 19
Session 20

Total Session Minutes (auto-calculated)
Total Contact Hours (auto-calculated)
Total CEUs (auto-calculated)

Section 6 - Submission
Thank you for applying!
Email for Confirmation*
example@example.com
Should be Empty:

Section 1 - Sponsor Information

Section 2 - Program Information

Section 3 - Planning & Evaluation

Section 5 - Session(s)

If you would like to calculate your total CEUs, you may use this section. Fill in the table and the rest will auto-calculate.

Section 6 - Submission