Member Chapters

Chapter Technical Session Request Form

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INSTRUCTIONS:  Use this form to request the Foundation to review all chapter CPE programs.  Only programs pre-approved by the Foundation will qualify for CPE credits and notification will be sent to the sponsoring committee chairperson within one week of receipt.  Forms are due in the Foundation office 4 weeks prior to program date. Please note that program presentation materials are due 2 weeks prior to the program.

NOTE: THE COURSE WILL NOT BE PROMOTED TO THE MEMBERSHIP UNTIL THIS FORM IS RETURNED AND TOPICS ARE APPROVED FOR CPE CREDIT.

Please complete the information listed below. You can also download and print the request form and email to the FAE Coordinator at websubmission@nysscpa.org

Section 1 - Sponsor Information

required

required

required

required

Section 2 - Program Information

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required

:

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required

Registration Fees
$
$
Program Registration Contact (If different from main contact above)

Section 3 - Program Content

(For descriptions of the following program components, refer to the CPE Course Standards and Procedures Section of the Chapter Handbook)

required

required

required

CPE Credit Requested: Please indicate the number of credits in each field of study (Note: 50 minutes equal 1 CPE credit, no half-credits allowed)

required

Section 4 - Instructor Information

Speaker 1
Speaker 2
Speaker 3
Speaker 4