ACE Application

Primary Contact Details


First
Last
Address *
Address
Address Line 1
Address Line 2
City
State
Zip Code

Activity Details


Type of Activity
Type of Multisession Activity
Type of Single Session Activity

 

Is this a Renewal?
Category
Maximum upload size: 20MB
Maximum upload size: 20MB
Maximum upload size: 20MB
If you are submitting a RECORDED activity, you must submit a copy of a email or other document used to prove that you have the rights to use the recording or materials for a period of time
Maximum upload size: 20MB

ACE Policies


Speaker Conflict of Interest Disclosure Policy

Any presenter of a course that has been approved for AVIR CE shall disclose any financial interest, arrangement of affiliation with one or more organizations/companies that could be perceived as a real or apparent conflict of interest in the context of the subject of the presentation, including but not limited to: consulting; a family member employed by the organization; a fiduciary responsibility; membership on a governing board; recipient of a grant or research support; a major stockholder; receiving other financial or material support (e.g., honorarium and/or travel expense reimbursement), membership on a speaker's bureau. This policy is not intended to prevent a speaker from making a presentation but merely to identify any potential conflict.

Disclosure of Commercial Support Policy

  • Any presenter or provider of a course that has been approved for AVIR CE shall prior to the activity disclose whether or not there is:
  • Any vested or financial interest(s) or relationship(s) with the manufacture(s) of commercial product(s) or provider(s) of commercial services or
  • Any uses of unlabeled products under investigational use.
  • Disclosure does not prohibit the provision of courses or the awarding of CE credit; merely, there must be proper planning, proper disclosure, and the proper documentation kept on file.

Once you continue to payment you will no longer be able to edit the form.


I agree to the AVIR Policies
ACE Single Activity 0.25 - 5.0 Credits - 1 year

ACE Single Activity Fee: $70.00

ACE Single Activity 0.25 - 5.0 Credits - 2 years

ACE Single Activity Fee: $130.00

ACE Single Activity 0.25 - 5.0 Credits - 3 years

ACE Single Activity Fee: $190.00

ACE Single Activity 5.25 - 10.0 Credits - 1 year

ACE Single Activity Fee: $80.00

ACE Single Activity 5.25 - 10.0 Credits - 2 years

ACE Single Activity Fee: $150.00

ACE Single Activity 5.25 - 10.0 Credits - 3 years

ACE Single Activity Fee: $220.00

ACE Single Activity 10.25+ Credits - 1 year

ACE Single Activity Fee: $100.00

ACE Multi-Session Activity - 1 Day

ACE Multi-Session Activity - 1 Day: $150.00

ACE Multi-Session Activity - 2-3 Days

ACE Multi-Session Activity - 2-3 Days: $250.00

ACE Multi-Session Activity - 4+ Days

ACE Multi-Session Activity - 4+ Days: $350.00

Total