Community of Practice Registration Form

Community of Practice Registration Form

Only new CoPs should complete this form. Please do not use this form if you are an existing CoP.
Community of Practice Name*
Coordinator's Name*

First NameLast Name
Coordinator's Email*
Coordinator's Phone Number*

Area CodePhone Number
Charter Members
1. Member's Name

First NameLast Name
1. Member's Email
2. Member's Name

First NameLast Name
2. Member's Email
3. Member's Name

First NameLast Name
3. Member's Email
4. Member's Name

First NameLast Name
4. Member's Email
5. Member's Name

First NameLast Name
5. Member's Email
6. Member's Name

First NameLast Name
6. Member's Email
7. Member's Name

First NameLast Name
7. Member's Email
8. Member's Name

First NameLast Name
8. Member's Email
Upload More Member's Name and Emails

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General Overview:

Communities of Practice advance the mission of ACPE, support the professional development of ACPE members, and provide for collegial nurture and support. For a complete description of an ACPE Community of Practice, please refer to our website. All funding for Communities of Practice will be awarded based on meeting the criteria described in the document “ACPE Communities of Practice.” In addition, applicants should use the ACPE Finance Committee Manual as a guide for funding proposals.
Please detail the leadership structure of your CoP. *
One person must serve as the CoP coordinator, responsible for communicating on behalf of the CoP. However, it is up to the initial group of members to determine the best leadership structure for their CoP, whether roles are defined and individuals are assigned to certain tasks, or one person is ready to take on the administrative load
Please provide a general description of your Community of Practice (CoP), i.e. its purpose and how it advances the mission of ACPE:*
What will be the common means of convening foryour CoP? *
Will you generally meet monthly, perhaps entirely via a conference call, will you have one large event per year?
What are the primary activities of your CoP?*
Signature*

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Is your CoP seeking ACPE funding? If so, your Community of Practice will need to complete the Financial Request Form.

YesNo
View and complete the Financial Request Form (form will open in another window).

Don't forget to complete this registration form by clicking submit below.
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