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Education
Application for Approval
MLA Continuing Education Activity
Read the CE Approval Application Directions before completing your application. Download the PDF file of this application or print out this Web page, then complete the application as instructed and send it to MLA headquarters at the address listed below.
General Instructions
Follow the italicized directions to prepare your proposal as a separate
word processing document using 12-point typeface. Use outside margins
of at least 1". Type the course title and page number in the top right
corner of each page. Identify the numbered sections of the proposal, and
double-space between sections.
This application should be completed and turned in by the
instructor of the education activity. It should not be filled out by the
sponsoring organization, (e.g. MLA chapter, local consortium, etc.).
Title:
List exact activity title to be used for all activity references.
Type of CE activity:
- A. Select one of the types of activities listed below.
MLA's national annual meeting CE course proposal, other CE course proposal, symposium, web-based CE course, or other CE activity (please list type of activity)
- B. For already scheduled activities provide information listed below.
Sponsor, MLA chapter/regional location, location and date of activity, time, fee and registration information (contact name, address, phone, fax, and email).
Primary contact:
Other instructor(s): Give name, MLA ID#, MLA chapter/regional location, institutional affiliation, position, mailing address, phone, fax, and email address for each instructor. Briefly explain the qualifications of each person, both in terms of subject area knowledge as well as teaching competency and experience in adult learning. Indicate which instructor will be the contact for MLA. Include a curriculum vita for each instructor in the application packet.
Course length:
Specify the length of the course. MLA's national annual meeting CE courses are typically 4, 6, or 8 contact hours in length.
Course/CE activity description:
Provide a brief summary of the major concepts and goals of this class or CE activity, linking to stated educational objectives; maximum 150 words. Include the overall goal, behavioral objectives or outcomes anticipated, specific content, and methods of the proposed CE activity. This description will be used on MLANET. For courses accepted for the MLA national annual meeting, this summary will be used in the preliminary program.
Target audience:
Level of instruction: Clearly define the audience to benefit from this activity, list prerequisites, if any, and, indicate intended instructional level, i.e. basic, intermediate, or advanced level of instruction.
Educational objectives:
List measurable learning objectives in terms of what the participants will gain from the activity. Example: "Participants will use advanced search features for PubMed searches."
Agenda with timeline:
A full agenda and timetable is required for all proposals. If there are multiple presenters, indicate which person is presenting each section of the CE activity. The agenda should also indicate the type of instructional format to be used for each portion of the agenda, noting when demonstrations, discussions, and other group activities will be used.
Method of delivery:
Specify the method of delivery, such as classroom style, hands-on computer lab, satellite broadcast, Web-based, video, audio, or self-study workbook.
Educational needs:
CE activities should be designed to satisfy documented or perceived educational needs. Explain how these were determined, (e.g., survey, member requests, analysis of current trends, etc.).
Instructional methods:
List instructional methods to be used. They should be consistent with the course content and delivery system and should encourage active involvement by the course participants. Select methods from this listing or specify others:
Lecture |
Discussion |
Simulation |
Case Method |
Other |
| Demonstration |
Debate |
Role playing |
Case study |
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| Slides |
Dialog |
Gaming |
Problem-based |
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| Learning videotape |
Brainstorming |
In-basket activities |
Critical incident |
|
| Panel discussion |
Sharing/self-disclosure |
Hands-on exercises |
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Participant materials:
Indicate the types of participant learning materials to be provided. Include a sample of each in the application. For MLA's national annual meeting course applications, draft materials may be provided if final versions are not available.
Facility requirements:
Indicate special facility requirements for the course or activity. Include AV and other classroom aids, computers, software, Internet access, and seating arrangements.
Additional evaluation (optional):
MLA provides a standard evaluation form to be used for each approved CE activity. MLA encourages research on the evaluation of learning, which utilizes follow-up survey methods, but their use is entirely voluntary. If you choose to use an additional evaluation tool, include a copy with your application packet.
Fees:
Determine which of the fees listed below is appropriate for your application, and enclose payment if required. Each application must be accompanied by fee payment unless the course is proposed for MLA's national annual meeting. Fees for courses being proposed for MLA's national annual meeting will be deducted from the instructor's honorarium if selected.
| MLA members | $ 75.00 |
| Non-members | $125.00 |
| Institutional groups (i.e. vendors, hospitals, universities) | $175.00 |
| NLM, Regional Medical Libraries, national professional library associations with MLA agreements | $ 0.00 |
| Late fee for applications received by MLA 6 weeks or less from the presentation date. | $ 45.00 |
Checklist of enclosures:
- CE Course/Activity Proposal
- Fee (if applicable) - make checks payable to Medical Library Association
- Detailed agenda
- Curriculum vita for each instructor
- Participant materials
- Evaluation form (optional)
Submit completed application packet to:
Kathleen Combs
Professional Development Department, Medical Library Association
Suite 1900, 65 East Wacker Place
Chicago, IL 60601-7246
Fax: 312.419.8950
Email: mlapd1@mlahq.org
For more information, contact Kathleen Combs, CE coordinator: 312/419-9094
x29 or mlapd1@mlahq.org
Revised 10/02
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