Host a Course
ASAM Fundamentals Host a Live Workshop Interest Form
Who will be hosting the course?
Who will serve as the point of contact for course planning purposes?
What is the best phone number to contact the point of contact?
What is the best email to contact the point of contact?
Where will the course take place?
Please provide the target date for the workshop. Workshops require a minimum of 90-120 days advanced notice to be scheduled.
How many learners does the host want to reach?
What is the target audience you are trying to reach for this course? Examples: providers in a specific state or geographic region; providers in my hospital system
Is there a specific faculty person the host would like to request? All faculty must be approved by ASAM.
If no, use "N/A"
Please enter your comments or questions here.