Global Ambassadors Program - Request for ACP Ambassador

Indicates required field

Request for:

In-Person Global Ambassador

Virtual Global Ambassador

Requestor: Conference Organizer/Program Chair

Name

Title/Affiliation

Address

City/Town

Country

Daytime Phone

E-mail

Event Description

Please check below relative to requests per attached guidelines:

I have read the ACP Global Ambassadors Program Guidelines and agree to abide by them.

Request for ACP International Meeting Endorsement (Countries without an ACP Chapter)

Counties without an ACP Chapter may request endorsement of an educational program outside of the United States. Please submit the additional information three months prior to the activity and before the creation of any promotional materials using the ACP name or logo. Requestor will be notified regarding endorsement approval. Approved requests will receive an “Endorsed by ACP” logo for use according to guidelines.

I would like to request ACP International Meeting Endorsement

Mission and goals of the sponsoring organization:

Learning Objectives:

Clearly state the expected learning outcomes in terms of knowledge, skills, or attitudes. At the conclusion of this activity, the participant will be able to:

List all sources of funding for this activity:

List all organizations that have agreed to endorse this activity:

Note organizations where endorsement is pending.

Please check below relative to requests per attached guidelines:

I have read the ACP guidelines for Endorsement of Meetings outside the United States and agree to abide by them.

For questions, contact Wendy Rivera-Craig at wrivera@acponline.org or +001 (215) 351-2520.