General Information

The intent of this pilot program is to encourage the development of activities to disseminate content from the 2019 ACR/ARP Annual Meeting to healthcare providers that treat patients with rheumatic diseases, including rheumatologists, dermatologists, primary care practitioners, nurse practitioners, and physician assistants.

Educational activities that disseminate content to patients with rheumatic diseases will also be considered. Patient information activities/materials must be free from influence or the appearance of the influence from commercial entities.  

Through this pilot program, the ACR will designate up to three approved Education Partner activities for 2019. Please complete this online form to submit your proposal to host an activity. 

The deadline to apply is July 15, 2019. 

ACR will review all complete proposals and reserves the right to reject topics, formats, or materials deemed inappropriate. The ACR reserves the right to request a review of the slide presentations at any time.

If you have questions, please contact Amy Kane at akane@rheumatology.org.

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* 1. Applicant Organization Information:

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* 2. Describe the attributes of the entity/entities that will support and facilitate the execution of the activity, the leadership of the proposed activity, and the specific role all entities have in the proposed activity.

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* 3. If the entity responsible for the execution of the activity will be receiving commercial support for the activity, please provide information on the support below and describe the funding agreement terms.

The organization(s) providing funding for the program, if different from the applicant. 

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* 4. Please describe the funding agreement terms if applicable: 

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* 5. Third-Party Organization
As applicable - the organization(s) responsible for logistics

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* 6. Billing Information 
Organization that will be invoiced for the administrative fee. 

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* 7. Please list the names and email addresses of all those you wish to receive notifications regarding this proposal: 

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