ACDIS Local Chapter Leadership Requests

Leader information

Please note that all requests may take up to a week for deliverables. Additionally, you may only submit one request per survey. For additional requests, please complete another ACDIS Local Chapter Leadership Request survey.

For CEU requests, ACDIS policy requires that leaders apply for pre-approval at 30 days before the meeting date so that ACDIS can review, approve, and process the request in a time for your meeting. This also allows ACDIS National to clarify any questions regarding the agenda that would impact the number of credits approved. To read more about our CEU policy for chapters, please refer to this document available in the Chapter Leadership Toolkit: https://acdis.org/sites/acdis/files/13-CEUs.pdf

Question Title

* 1. Select the ACDIS local chapter or networking group that you are a leader of:

Question Title

* 2. Complete the below information:

Name *

Facility *

Email Address *

Phone Number