American Society of Addiciton Medicine

ASAM Fundamentals Host a Live Workshop Interest Form

Education

ASAM Fundamentals Host a Live Workshop Interest Form

Home Education Host a Course ASAM Fundamentals Host a Live Workshop Interest Form 

Please fill out the below form to initiate the process for setting up a meeting to discuss hosting a live workshop.

Who will be hosting the course?

Who will serve as the point of contact for course planning purposes?

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.

Will this course be open to the public?

Is the host open to collaborating with outside organizations?

Do you have any funding available to put toward this course?

Are you open to your participants paying a registration rate for the course?

If no, use "N/A"

Please enter your comments or questions here.