Template for Data Collection for CM Activities

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AICP CM Event Application
Please complete the application below to provide CM credits for your workshop, course,
conference, or book club, and attract certified planners from across the New York metro
region to your event! Complete this application for either a single activity; a multi-part
event; or distance education.
Criteria
CM session content must (a) meet a planning related objective, (b) be unbiased and nonpromotional, and (c) communicate a clearly identified educational purpose or objective.
CM activities must (a) be lead by one or more experts on the subject matter discussed, (b)
use learning methodologies and formats that are appropriate to the activity's educational
purpose, and (c) involve the use of materials that do not include proprietary information.
Applications are due a minimum of three weeks prior to the date of the event.
Visit APA’s CM website for more details on CM event eligibility and criteria at
www.planning.org/cm.
Submit by email to APA New York Metro Chapter’s Professional Development Officer, Fiona
Akins at pdo@nyplanning.org at least four weeks prior to your event. Please submit
applications in Word.doc format (not a pdf or scanned copy).
(1) SINGLE ACTIVITY
A single activity is defined as a self-contained, real-time event, such as a workshop (including mobile
workshops), lecture, keynote speeches, symposium, or audio/web conference where the lecturer and instructor
are participating at the same time and at which participants cannot choose among multiple activities. All
participants at a single event attend the same activities and earn the same number of credits.
Event Title
Event Organizer
Provide a point of contact for this event to whom
questions from speakers or APA can be directed.
Name:
Email:
Start Date and Time / End Date and Time
Location
City, State
Is this event free?
Yes / No
Event or Registration Website - Optional
Topic – Select ONE from the following list:
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Career Development
Community Revitalization
Comprehensive Planning
Demographics & Diversity
Development
Development Regulations
Economic Development
Education
Energy
Environment
Ethics
Finance
Food Systems
Hazards
v.2015-10-23
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Health
Historic Preservation
Housing
Law
Parks, Open Space & Greenways
Planning History & Theory
Planning Methods
Public Participation
Regional Planning
Sustainability
Technology Tools
Transportation
Urban Design
Zoning, Codes & Ordinances
1/7
CM Credit Hours Requested
1 hour = 1 CM. Available in 15 minute increments.
___ CM credits
Law or Ethics credits? (Optional)
Law Credits: ___ CM
Ethics Credits: ___ CM
Event Description:
Clearly describe the planning-related educational objective that
this training achieves (e.g. what AICP members will learn). Note
that the content must be designed to teach subject matter in
appropriate depth and scope for the level of a typical AICP
member (e.g. a planner with at least 4 years’ experience after
earning a 2-year master’s). Content intended for planning
commissioners or elected officials, or that are basic in nature
(e.g. subject matter taught in planning school) are not eligible.
400 words maximum
Note that this description will be displayed publicly to all APA
members on www.planning.org/cm/search.
Law Credits (Optional)
Demonstrate that the content of this activity is related to planning
law, such as environmental law, land use law, redevelopment law,
administrative law, housing law, etc. Activities must be closely
related to recently enacted planning laws or recent case decisions or
trends in existing planning laws or case decisions. Recent is defined
as within the last 10 years.
200 words maximum
Activities related to political movements, policy recommendations,
and policy initiatives are not eligible for law credit. Training on law
must constitute a majority of the content of the activity.
Ethics Credits (Optional)
Demonstrate that the content of the activity focuses on training
planners on the standards of ethical behavior according to the AICP
Code of Ethics and Professional Conduct. While general ethics
courses, local ethics laws, and ethic codes from other professions can
introduce relevant issues as well, the AICP Code focuses on a system
of moral principles specific to professional planners.
200 words maximum
Speakers:
Please notify speakers that they will be emailed by APA once the CM application is submitted and asked to to
confirm or complete a speaker bio through APA’s speaker platform.
Instructor 1:
Instructor 2:
Instructor 3:
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
Repeat above for any additional speakers.
v.2015-10-23
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(2) MULTI-PART EVENT
This is defined as a real-time event with multiple activities, such as a conference with several sessions or
multiple registration options. Participants at a multipart event choose between a variety of activities, and
individual participants may earn different numbers of credits. CM credits will be awarded for individual activities
or sessions, rather than for the event as a whole. The event will appear once on the APA calendar and CM
activity list; the individual sessions or activities will appear on the event's detail page.
(A) For the entire event or conference:
Event Title
Start Date and Time / End Date and Time
Location
City, State
Is this event free?
Yes / No
Event or Registration Website - Optional
Topic(s) Select ONE from the following list:














Career Development
Community Revitalization
Comprehensive Planning
Demographics & Diversity
Development
Development Regulations
Economic Development
Education
Energy
Environment
Ethics
Finance
Food Systems
Hazards














Health
Historic Preservation
Housing
Law
Parks, Open Space & Greenways
Planning History & Theory
Planning Methods
Public Participation
Regional Planning
Sustainability
Technology Tools
Transportation
Urban Design
Zoning, Codes & Ordinances
General Description:
Clearly describe the planning-related educational
objective that this training achieves (e.g. what AICP
members will learn). Note that the content must be
designed to teach subject matter in appropriate depth
and scope for the level of a typical AICP member (e.g.
a planner with at least 4 years’ experience after
earning a 2-year master’s). Content intended for
planning commissioners or elected officials, or that are
basic in nature (e.g. subject matter taught in planning
school) are not eligible.
400 words maximum
Note that this description will be displayed publicly to
all APA members on www.planning.org/cm/search.
v.2015-10-23
3/7
(B) For each eligible session, part, or activity:
Name of Session, Part or Activity
Start Date and Time / End Date and Time
Session Organizer
Name:
Provide a point of contact for this session to whom
Email:
questions from speakers or APA can be directed.
Topic(s) Select ONE from the following list:
 Career Development
 Health
 Community Revitalization  Historic Preservation
 Comprehensive Planning
 Housing
 Demographics & Diversity  Law
 Development
 Parks, Open Space & Greenways
 Development Regulations  Planning History & Theory
 Economic Development
 Planning Methods
 Education
 Public Participation
 Energy
 Regional Planning
 Environment
 Sustainability
 Ethics
 Technology Tools
 Finance
 Transportation
 Food Systems
 Urban Design
 Hazards
 Zoning, Codes & Ordinances
CM Credit Hours Requested
1 hour = 1 CM. Available in 15 minute increments.
___ CM credits
Law or Ethics credits? (Optional)
Law Credits: ___ CM
Ethics Credits: ___ CM
Description of Session, Part or Activity:
Clearly describe the planning-related educational
objective that this training achieves (e.g. what AICP
members will learn). Note that the content must be
designed to teach subject matter in appropriate depth
and scope for the level of a typical AICP member (e.g.
a planner with at least 4 years’ experience after
earning a 2-year master’s). Content intended for
planning commissioners or elected officials, or that are
basic in nature (e.g. subject matter taught in planning
school) are not eligible.
400 words maximum
Note that this description will be displayed publicly to
all APA members on www.planning.org/cm/search
Law Credits (Optional)
Demonstrate that the content of this activity is related to
planning law, such as environmental law, land use law,
redevelopment law, administrative law, housing law, etc.
Activities must be closely related to recently enacted
planning laws or recent case decisions or trends in
existing planning laws or case decisions. Recent is defined
as within the last 10 years.
200 words maximum
Activities related to political movements, policy
recommendations, and policy initiatives are not eligible
for law credit. Training on law must constitute a majority
of the content of the activity.
v.2015-10-23
4/7
Ethics Credits (Optional)
Demonstrate that the content of the activity focuses on
training planners on the standards of ethical behavior
according to the AICP Code of Ethics and Professional
Conduct. While general ethics courses, local ethics laws,
and ethic codes from other professions can introduce
relevant issues as well, the AICP Code focuses on a
system of moral principles specific to professional
planners.
200 words maximum
Speakers:
Please notify speakers that they will be emailed by APA once the CM application is submitted and asked to to
confirm or complete a speaker bio through APA’s speaker platform.
Instructor 1:
Instructor 2:
Instructor 3:
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
Repeat above for any additional speakers.
(3) DISTANCE EDUCATION
A distance education event is an asynchronous learning event, where the learner and instructors are separated
by time and are not engaging in the event simultaneously – that is, learning anytime, anyplace, 24/7. The
learner may access the material at their convenience. Distance education activities may include online courses,
webinars, streaming courses, podcasts, CD-ROMs or downloadable recordings.
Name of Course or Activity
Event Organizer
Provide a point of contact for this session to whom
questions from speakers or APA can be directed.
Dates Available:
Indicate when the course or activity will be available to
AICP members. Select all relevant quarters (3-month
period) and years.
Name:
Email:
Spring / Summer / Fall / Winter
Year
Spring: 01-01 to 03-31
Summer: 04-01 to 06-30
Fall: 07-01 to 09-30
Winter: 10-01 to 12-31
Is this event free?
Yes / No
Event or Registration Website (Optional)
Topic(s) Select ONE from the
 Career Development
 Community Revitalization
 Comprehensive Planning
v.2015-10-23
following list:
 Health
 Historic Preservation
 Housing
5/7











Demographics & Diversity
Development
Development Regulations
Economic Development
Education
Energy
Environment
Ethics
Finance
Food Systems
Hazards











Law
Parks, Open Space & Greenways
Planning History & Theory
Planning Methods
Public Participation
Regional Planning
Sustainability
Technology Tools
Transportation
Urban Design
Zoning, Codes & Ordinances
CM Credit Hours Requested
(1 hour = 1 CM credit)
Law or Ethics credits? (Optional)
Event Description:
Clearly describe the planning-related educational
objectives that this session achieves. Content must be
designed to teach subject matter in appropriate depth
and scope for the level of a typical AICP member (e.g: a
planner with at least two years experience).
Law Credits: ___ CM
Ethics Credits: ___ CM
600 words maximum
Note that this description will be displayed to all members
on www.planning.org/cm/search.
Criteria Eligibility:
Please provide a description answering the following
questions:
1. What evaluation tools are used to measure the efficacy
of the event and speakers? How are those tools used to
help make necessary changes to the content and delivery
of the event?
2. How does the event integrate methods by which the
learner acts upon the information and knowledge that has
been imparted (e.g. asking questions of the course
instructor(s), writing an essay, taking a test or quiz,
completing a project assignment, etc.)?
600 words maximum
3. How does the product utilize multiple methods of
learning? These may include:
• Text or course outline of course content
• Plans
• Photographs of case studies
• Relevant graphics or other visuals
• Audio lectures linked to PowerPoint presentation
• Supplemental reading materials
Law Credits (Optional)
Demonstrate that the content of this activity is related to
planning law, such as environmental law, land use law,
redevelopment law, administrative law, housing law, etc.
Activities must be closely related to recently enacted
planning laws or recent case decisions or trends in existing
planning laws or case decisions.
200 words maximum
Activities related to local-level regulations, policies and
ordinances (including zoning), political movements, policy
recommendations, and policy initiatives are not eligible for
law credit. Training on law must constitute a majority of the
v.2015-10-23
6/7
content of the activity.
Ethics Credits (Optional)
Demonstrate that the content of the activity focuses on
training planners on the standards of ethical behavior
according to the AICP Code of Ethics and Professional
Conduct. While general ethics courses, local ethics laws, and
ethic codes from other professions can introduce relevant
issues as well, the AICP Code focuses on a system of moral
principles specific to professional planners.
200 words maximum
Speakers:
Please notify speakers that they will be emailed by APA once the CM application is submitted and asked to to
confirm or complete a speaker bio through APA’s speaker platform.
Instructor 1:
Instructor 2:
Instructor 3:
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
First Name, Last Name
Company
City, State
Email
Phone number
Repeat above for any additional speakers.
v.2015-10-23
7/7
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