Template for Data Collection for CM Activities
Providers of education and training may find the following templates useful in collecting data for activities that may be eligible for CM credit, including single and multi-part activities and distance education.  Please visit the CM website for more details on the CM program at www.planning.org/cm. 
Single Event
A single activity is defined as a self-contained, real-time event, such as a workshop (including mobile workshops), lecture, keynote speeches, symposium, or audio/web conference where the lecturer and instructor are participating at the same time and at which participants cannot choose among multiple activities. All participants at a single event attend the same activities and earn the same number of credits. 
You will need the following information for the single event:

Event Details	
Event Name 
		
Short Name 
for Online Calendar (optional)		
Event Code
This is the code your organization uses to identify the event. (optional). 		
Start Date  		
End Date		
Start Time (a.m. /p.m.) 		
End Time (a.m. /p.m.)		
 Event Location: City    		
State 		
Country		

Topic: Please choose from the following list of topics representative of the overall event or conference:	
	AICP		GIS		Planning Practice	
	Agricultural Preservation		Gardens and Markets		Policy, Planning, and Politics	
	Agriculture		Growth Management		Private Practice	
	Air rights		Habitat		Professional Development	
	Airports		Health and Human Services		Public Relations	
	Annexation		Historic Preservation		Public/Private/Non-Profit Partnerships	
	Arts		History		Regional Planning	
	Big Box		Housing		Revitalization and Redevelopment	
	Biodiversity		Impact Fees		Signs	
	Brownfields		Implementation		Site Plans	
	Business Improvement Districts		Indigenous Planning		Small Town and Rural	
	Byways, Highways and Corridors		Industrial Development		Smart Growth	
	Careers		Infill		Stadiums	
	Census		Information Technology		State Planning	
	Citizen Participation		Infrastructure		Students	
	Community Development Corporations		Intergovernmental		Suburban Planning	
	Community Indicators		Interjurisdictional		Sustainability	
	Compliance		International		Technology	
	Comprehensive Planning		Land Use Planning		Telecommunications	
	Cultural Resources		Land Use and Planning Law		Tourism and Recreation	
	Development Review		Law		Tours	
	Disaster Planning and Recovery		Management		Transfer of Development Rights	
	Downtowns		Marketing		Transportation	
	Economic Development		Master Planning		Tribal Planning	
	Education and Schools		Media		Universities	
	Elderly		Mediation and Negotiation		Urban Design	
	Entertainment		Minority Populations and Social Equity		Water Resources	
	Environment		Neighborhood Planning		Waterfronts	
	Environmental Planning  		New Communities		Watersheds	
	Ethics		New Urbanism		Women and Planning	
	Federal Planning		Parks, Open Space, and Greenways		Youth and Planning	
	Finance		Permits		Zoning, Codes, and Ordinances 	
	Food		Planning Commissioners, Elected Officials, and Appointed Officials			

Event Description  
(4000 char max)		
Please clearly describe the planning-related educational objective that this training achieves (e.g., what AICP members will learn). Note that the content must be designed to teach subject matter in appropriate depth and scope for the level of a typical AICP member (e.g., a planner with at least two years of experience). 
Please note:  description will be displayed to all members.		
Instructors/Speakers
An expert is defined by APA as a professional who has made a contribution to the profession through practice, teaching, research, or publications; completed works that proclaim individuality and mastery of the principles of planning taught; and whose work demonstrates outstanding quality and professionalism.	
Speaker # 1	Name 
+ any non-AICP title ( PE, ASLA, AIA, MD, PhD…)		
	AICP ?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker # 2	Name 
+ any non-AICP title (PE, ASLA, AIA, MD, PhD…)		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		
Speaker # 3	Name 
+ any non-AICP title (PE, ASLA, AIA, MD, PhD…)		
	AICP?		
	FAICP?		
	Biographical Information 
(4000 char max; including current professional title and notable achievements that indicate required level of expertise) 		

Criteria for CM Approval  	
Number of Credit Hours Requested - TOTAL
(1.0 contact hours = 1.0 CM credits). 
Non-instructional activities or breaks cannot be included toward the contact hour(s) and should be discounted from CM credit total
		
Law Credits Requested? 
(note percentage of session time meeting Law Criteria e.g. 1.5 contact hours = 1.5 CM credits) 		
Ethics Credit Requested?
(note percentage of session time meeting Ethics Criteria e.g. 1.5 contact hours = 1.5 CM credits )		

Description of how the event will meet the Ethics requirement  
(2000 char max)
Providers must demonstrate that the content of the activity focuses on training planners on the standards of ethical behavior according to the AICP Code of Ethics and Professional Conduct. While general ethics courses, local ethics laws, and ethic codes from other professions can introduce relevant issues as well, the AICP Code focuses on a system of moral principles specific to professional planners. 
For more information please reference the CM Provider Handbook located on the APA website at www.planning.org/cm/providers		
Description of how the event will meet the Law requirement
(2000 char max)
Providers must demonstrate that the content of the activity is related to existing planning laws or case decisions or trends in existing planning laws or case decisions. Political movements, policy recommendations, and policy initiatives are not "current planning law." Existing planning laws or case decisions must clearly constitute a majority of the content of the activity.      
For more information please reference the CM Provider Handbook located on the APA website at www.planning.org/cm/providers