Inspired Learning

Please note: All fields are required.

Institution or Organization Information

Contact Information

Anticipated Date

If exact date is unknown, please list anticipated month/year  

Anticipated Attendee Information

  20 - 30
  30 - 40
  40 - 50
  50+
  Other    

Attendee Titles (approximate number)

  
  
  
  
  

  Yes  |    No

In order to ensure that this educational activity meets the needs of your institution or organization, please identify the current professional practice gap(s) of your staff that you would like to see improved as a result of their participation in this activity.

What barriers exist to addressing the professional practice gap(s) identified above?

What practice changes do you expect to see as a result of your staff’s participation in this educational activity?

Please read the following statements and check the boxes to affirm each statement.

I have obtained permission from my institution or CME department to conduct this activity.
I agree to complete a brief outcomes survey following this activity.

I understand that my institution or organization is responsible for accrediting this activity and managing all related logistics. Furthermore, I understand that Spire Learning is responsible for providing the presentation materials and tools associated with this educational activity.


For assistance or questions regarding this program, please contact Spire Learning at 973-605-2922 and use reference code 733.