Professional Development Credit Points (Pdcp) Application

Professional Development Credit Points (Pdcp) Application

Continuing Professional Development Recognition Application Process

Application Form for ARONAH CPD Recognition of an Activity/Event

Please complete this form and submit with the relevant application fee to

Australian Register of Naturopaths and Herbalists, PO Box 711, Fortitude Valley, QLD 4006,

E-mail:

Once only event - $120.00*

Once only event with access to recording for limited time after the event or on-demand webinar - $120.00*

(On-demand webinars may only be available for up to one month)

2 year/multi occurrence**- $180.00*

NB: APPLICATION WILL NOT BE PROCESSED WITHOUT PAYMENT OF APPLICATION FEE

*Prices inclusive of GST **also applies to online education or webinars that are available for more than one occurrence

PROVIDER DETAILS

Name of Education Provider/Organisation:

Contact person/Coordinator:Designation:

Address:Post Code:

Tel:Fax:Email:

Do anyproviders or instructors have a commercial interest in the activity?

If yes, has this been disclosed to prospective activity participants?YesNo

Please ensure the following is completed and or attached:

Application form is completed - all sections

A copy or an outline of your program, including the following information:

  • Title of the CPD activity.
  • Instructors and their qualification(s) e.g. naturopath, herbalist, medical practitioner.
  • Timetable or estimated completion time, including discussion/question time.

For online courses - please provide a course outline and include average completion time

Payment details(complete the credit card option below or request an Invoice for bank transfer)

Please answer all of the following questions or provide suitable documentation to meet the question requirements

DETAILS OF CPD ACTIVITY

Activity Title:

Type of Activity (select all that apply):Conference Workshop Online education Webinar/webcast Other (please specify)

Duration in hours of CPD (excluding all breaks): (CPD assigned in 0.5 increments only)

Is this educational activity to be repeated or accessible more than once?YesNo

If your response is YES, indicate how often this is to be repeated/accessible (select the most relevent):

Repeated: WeeklyMonthlyAnnuallyBiannually

Continuosuly Accessible Online Other (please specify)

Proposed date/sof activity (release date for online education):

Venue (for workshops or conferences):

Address if applicable:

Please indicate how many people you expect to participate in this CPD activity?

Has this event previously receivedCPD Recognition?Yes*No

*If yes, have you ensured that previous feedback has been reviewed and where appropriate incorporated into the activity against which this application for CPD recognition is being sought? Yes No

Date previously recognised

ACTIVITY TOPICS

The primary purpose of any CPD activity should be to enhance the provision of safe, high quality naturopathic and western herbal medicinal care.

  1. Please state how this CPD activity achieves this aim?
  1. How did you identify that naturopaths and/or herbalists have alearning need in the topic area and that the proposed CPD activity meets this need?

LEARNING OUTCOMES AND EDUCATIONAL STANDARDS

  1. Please provide a description of the proposed CPD activity and state the intended learning outcomes.
  1. Please provide details about the type of education activities, teaching aids or assessment methods that will be used to assist learners to achieve the learning outcomes as noted above.
  1. Please describe the evidence-base for the content of your CPD activity. If the program is ongoing, describe how you plan to ensure the content is based on the best available evidence for the duration of the CPD Recognition period.
  1. Please provide the name/s of instructor/s or developer/s and include details of their educational qualifications and/or experience relevant to the topic area.

ACTIVITY WEBSITE LISTING

If you would like your activity listed on our website please ensure you complete the details below:

Activity title:

Tagline (optional - 10 words max):

Presenter (optional):

Organisation:

Date/Location:

Contact:Name, phone number & email address

Website (optional):

APPROVAL OF APPLICATION

ARONAHCPD Recognition occurs foronly one of the following:

One off activity/event ($120.00)
If applying for a one off activity/event that is then required to be run again after the one off occasion has occurred, a new application is required for the new activity/event date along with a further application & processing fee. This option includes on-demand webinars available for a limited period of time.

Twoyearactivity/event schedule ($180.00)

where the activity/event may occur multiple times in that period or be available for the durationof that period (as in the case of online courses or webinars availble as recordings). The two year schedule is recommended to any applicant who believes the activity/event is likely to occur more than once in that period or in the case of an oline course is available for access continusoly over that period. A renewal of the CPD Recognition is required to comence at least 2 months prior to expiration of the current CPD Recognition and a newapplication and processing fee isapplicable. If the activity/event content changes significantly a new application needs to be submitted which will incur a new application fee.

The Australian Register of Naturopaths and Herbalists reserves the right to withdraw recognitionof CPD activities from educational providers.This action will be undertaken in the event that the educational activity was not fulfilled according to the information presented in the application for recognitionoriginally approved by the Australian Register of Naturopaths and Herbalists.

Applicant’s Name:

Applicant’s Email:

Applicants Contact Telephone Number:

Applicant’s signature:Date:

Please allow aminimum oftwo (2) weeks for processing of this application.

Cost of accreditationis GST inclusive.

Please ensure all sections are completed and send with full payment to:

Australian Register of Naturopaths and Herbalists

PO BOX 711, Fortitude Valley, QLD 4006

Email: Phone:07 3149 3044

PAYMENT DETAILS

Organisation:

Contact Person:

Telephone: Email:

Address:

State:Post Code:

Signature:Date:

Do you require a receipt?YesNo

Other Comments:

Payment:

Account Name: Australian Register of Naturopaths and Herbalists

BSB: 034010Account No: 328187

Note: Please include ‘ARONAH CPD’and your company name in the reference field so we can allocate your payment

Amount:$120.00 Once-offactivity

$180.00 Two-year recognition/repeated activity

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