Application for Ethics Credit presented by IPT Local Luncheon Group

Application for Ethics Courses Presented by Local Luncheon Groups

The IPT Board of Governors has mandated a requirement that members who hold IPT’s Certified Member of the Institute (CMI) Designation in any discipline must complete 5 hours of ethics training at IPT events, in order to renew their designation.

This policy serves as a guideline for local luncheon groups to use in developing speakers to assist CMIs in meeting this requirement.

IPT should be notified of the session 15 days prior to presentation.
The session must be based on IPT’s Code of Ethics and implementing codes and standards.
The speaker must attach specific learning objectives and an outline or copy of the presentation with this approval request.
The presentation must qualify for at least 1 CE unit as defined by IPT standards. This is currently defined as 50 minutes of instruction on the topic.
In order to earn the CE credit for approved ethics or any other credits, the local luncheon group is required to submit a sign in sheet attesting to member’s attendance, whether or not they hold the CMI designation and their signature. This sheet should be verified by the Local Luncheon Chair or designee.

1. Name of Person Submitting This Form:

2. Contact Phone Number:

3. Name of Local Luncheon Group:

4. Contact E-mail: This question requires a valid email address.

5. Date of Meeting:

calendar

6. Location of Meeting (Venue, City and State):

7. Speaker's Name and Company:

8. Please upload the session Learning Objectives and Outline (CTRL-Click to add up to 2 files if needed):

File: {{filename}} delete

9. Please complete the following:

The speaker has attached learning objectives and a session outline.
(If applicable) this speaker has presented an ethics session at a National IPT event.
The presentation will cover the following Canons (list by number). Please enter an 'other' value for this selection.
Event Name and Year Please enter an 'other' value for this selection.

By submitting this form, I understand that if this session is approved, it is my responsibility to verify the time the speaker presented and submit the Local Luncheon Group sign–in sheet along with any other required documentation after this program so that CMI's can be awarded appropriate credit.

10. By typing my name in this box, I am signing this document. When I click the "submit button", this form will be sent to Cassandra Albert, Christina Webb, Jake Lipps, and Brenda Pittler in the IPT office. *This question is required.

Application for Ethics Credit presented by IPT Local Luncheon Group

Local Luncheon Group Ethics Credit Application