Institutional Member Courses Benefit Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Institution details2Course - Module details3Participant detailsInstitution detailsPlease give the details of the point of contact at your institution.Name *FirstLastEmail *Institution *Is your institution an AMEE member? *YesNoNextSave and Resume LaterCourse - Module detailsPlease give the details of the course or module you are enquiring about.Please select *CourseModuleSelect Course *Introduction to Teaching and Learning in the Health ProfessionsContinuing Professional DevelopmentSelect Module *Roles of the TeacherDesigning and Planning LearningPrinciples of CPDAssessing the Needs of CPD LearnersDesign and Delivery of CPDMeasuring Change in CPDTaking a Strategic Approach to CPDEDI in Health Professions EducationPreviousNextSave and Resume LaterParticipant detailsPlease give the details of the participants you would like to enrol.Please indicate if you would like to complete a downloadable template document or continue to fill in the rest of the form? *Complete template documentFill in formDownload the template here Once this has been completed, please upload the template below. File Upload Click or drag a file to this area to upload. Please specify the number of participants *To ensure you don't lose your progress, please click on the 'Save and Resume Later' button at the bottom.FirstnameFirstnameFirstnameFirstnameFirstnameFirstnameFirstnameFirstnameFirstnameFirstnameLastnameLastnameLastnameLastnameLastnameLastnameLastnameLastnameLastnameLastnameEmailEmailEmailEmailEmailEmailEmailEmailEmailEmailPreviousSubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link
