Share your interprofessional education event with us. JCIPE will feature events that have a focus on interprofessional education activities. Note: Please submit information for consideration at least two weeks prior to the activity.

(*) required fields

Please complete the following online application:

*Interprofessional Event Title:
*Event Type:	Activity Conference Observance Program Satellite Broadcast Seminar Webcast Other
*Event Sponsors:
*Start Date:	click to select date from calendar
*Start Time:	hour 1 2 3 4 5 6 7 8 9 10 11 12  :  minutes 00 15 30 45   am or pm am pm
*End Date:	click to select date from calendar
*End Time:	hour 1 2 3 4 5 6 7 8 9 10 11 12  :  minutes 00 15 30 45   am or pm am pm
*Location:
*Description:
*Contact Name:
Department / Center:
*Phone:
*Email:
Website (if applicable):