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Get Rutgers University Cme Activity Planning Worksheet 2013-2024

Cational Partner Contact Name: Title: Address: Telephone: Fax: E mail: Educational Partner Questionnaire completed and EP is not a Commercial Interest: Credits requested: AMA PRA Nursing* Yes No Pharmacy* Required Attachments: Preliminary agenda (live event) Complete needs assessment, including supporting documentation clearly defining the gap to be addressed Signed Disclosure Forms for all individuals involved in the development and/or implementation of the activity Budget summary indic.

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