Ensure to enclose the following documents when submitting this Certification Application Form. Certification application form and all supporting materials must be submitted 8 weeks prior to the start date of the activity. All required supporting documents are to be submitted at the same time as the application form.
▢ Signed and completed certification application form (Scientific Planning Committee Chair, pg. 13)
▢ McGill Department FOAPAL #
▢ Invitation to participants
▢ Speaker communication/invitation template
▢ Letter stating that funds received by the sponsor were in the form of an educational grant
▢ If the SPC/PO chooses to delegate to a third party payment of expenses, submit signed agreements (see criteria on pg. 4)
▢ Copy of the schedule (preliminary if not finalized)
▢ Signed copy of the Financial Support, Presenters / Content Selection Disclosure Form (Scientific Planning Committee Chair, pg.14)
▢ Signed copy of the Financial Competing Interests Form (Scientific Planning Committee Chair, pg.15)
▢ Signed copies of the Declaration of Potential Conflict of Interest Form (Scientific Planning Committee Chair, Organizing Committee and all presenters, pg.16)
▢ Declaration of Potential Conflict of Interest (COI) - Resource Person Listing (pg.17) - Mandatory
▢ NEW - Provide Scientific Planning Committee (SPC) meeting minutes, e-mail correspondence, etc...
▢ Needs Assessment: Summary
▢ Evaluation Form (see criteria on page 12)
▢ PowerPoint Slide Set – mandatory, in particular if the activity is funded by one for-profit or non-profit organization - not required for live single delivery large conferences featuring many speakers (if presented in English and French, submit PPT in both languages)
▢ If requesting RCPSC accreditation/certification: Signed and completed RCPSC certification application form (Scientific Planning Committee Chair, pgs. 18-20)
▢ If requesting CFPC certification: Signed and completed CFPC certification application form (pgs. 21-27)
▢ NEW! Signed Ethical review form and promotional materials for (Scientific Planning Committee Chair, pg. 28)
PLEASE READ: All required supporting documents are to be submitted at the same time as the application form. Should the CPD office receive supporting documents less than 8 weeks prior to the start date of the activity, late fees will apply.
Submit your certification application form and supporting materials via email: cme.med [at] mcgill.ca
Should you be submitting your accreditation application form and supporting material via Drop Box or another file hosting service, please ensure to provide access for at least a 4 week duration and admission to multiple users.