Continuing Education Activity Plan (Instructor Form)
This form is to be completed by either the instructor or RID Sponsor and kept on file with the Sponsor form.
The RID Sponsor will submit the completed Activity Plan online by logging in to their account at www.rid.org at least 30 days in advance of the activity.
Email address *
RID Sponsor Name
Erin Kirk 2018
Presenter/Instructor Name (Please email bio/resume to cmp@ICRID.org) *
Your answer
Date of Activity *
MM
/
DD
/
YYYY
Start time of Activity *
Time
:
End time of Activity *
Time
:
Number of CEUs *
Your answer
Professional Studies or General Studies *
Title of Activity *
Your answer
Level of Participant's Prior Knowledge of Topic *
Target Audience *
Your answer
Workshop/Course Description *
Your answer
Educational Objectives (List specific measurable actions by participants that will demonstrate comprehension and integration of information presented): *
Your answer
Media/Materials (List the print, audio and visual materials you will use. Who is responsible for providing them?) *
Your answer
Evaluation & Assessment (Describe how you will evaluate student learning & presentation effectiveness.)
Your answer
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