Meeting Request Form – Individual Meeting

Enrollment Type *
Local SocietyHospital
Meeting Type *
New meeting for approvalMeeting Cancellation NoticeChanges to previously approved meeting
Name of Organization
Contact Person
Email
Meeting Information
Title of Proposed Meeting *
Date of Proposed Meeting *
Location of Meeting (Place, City, State) *
Length of Meeting *
Number of CEU Hours Requested *
Speaker(s) *
Please provide a brief overview of the content to be covered during this meeting. *
Please list one learning objective for each hour of proposed content. *
Meeting format *
Didactic lectureCase-based presentationsInteractive (echo jeopardy, etc.)Other
Submission and Signature
Please upload a copy of your meeting agenda.
Please upload a copy of your meeting flier for approval (if separate from your agenda)
Electronic Signature
Please use your full name. By signing here you are agreeing to comply with all CEU Program Guidelines. *

Verification

Please enter any two digits with no spaces (Example: 12) *
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ASE Headquarters – COVID-19 Update

Beginning March 26, 2020, the county where the ASE Headquarters is located is under a government order to “Stay at Home” due to the spread of the coronavirus. These “Stay at Home” recommendations continue to be in effect and depend on the infection rates in the County/State. ASE will keep all but essential personnel telecommuting until a time when it is judged safe to return to work. We are not suspending or closing operations; our employees will remain working and providing excellent customer service to our members and the cardiovascular ultrasound community. However, ASE will slightly modify its official open hours to 9 AM – 4 PM Eastern Time, Monday-Friday. Should you need to get in touch with a staff person, call our main office at 919-861-5574 and a phone list by department will be available. A staff directory is also available here. All general questions can also be sent through ASE@ASEcho.org. Thank you and our best wishes for your continued safety.