Before You Begin: In order to submit a course for review, you will need to complete the application in its entirety and submit payment for your course. Before submitting a course for review, we advise reading through the Course Qualification Manual.
Please Note: You will need the following documents in order to complete the application:
If you are not the Principal Instructor and you are submitting a course on behalf of the Principal Instructor, please fill out your information below and attach the Instructor Course Submission Acknowledgement Form.
1355 Market Street, Suite 900 San Francisco, CA 94103 P: (123) 456-7890
No Co-Instructors added to this course. Please click the "Add Co-Instructor" button to add co-instructors to this course.
No Co-Instructors added to this course.
No Adjunct Instructors added to this course. Please click the "Add Adjunct" button to add Adjunct instructor to this course.
No Adjunct Instructors added to this course.
Please identify any direct financial or proprietary interests you may have in any of the companies, products, pharmaceuticals, or services you may have mentioned, or intend to mention in your presentation. You must also disclose if you provide for-profit support of any kind, are a paid consultant to, an employee of, or serve as an officer on the board of any companies mentioned in your presentation. If your course is approved for qualification, this information must be disclosed at the beginning of the presentation to your audience in a clear and unambiguous manner, both verbally and in your written course handout/outline.
I have read and will comply with the COPE requirements for course qualification. I agree to notify COPE in writing if the financial/proprietary information disclosed above changes at any time during the three-year qualification period of this course.
Please enter the information for the course and attach your Course Outline or slide presentation.
(View Category Definitions)
(View Format Definitions)
If the course being submitted is a CEE course, please provide the following information. You must also attach your Post-Course Test with Answer Key and Letter of Supporting Statement from the accredited school/institution that is sponsoring the test. Tests must conform to COPE's Continuing Education with Examination Policy.
CEE Course Must be LIVE and 2 Hours Minimum. Go back to step 6 and update these entries.
CEE courses can only be live, and this course is not a live course. Please go to the next step.
Based on your Course Format selection (Live) in Step 6 this course is not a Distance Learning/Multimedia Course. Please go to the NEXT step.
If this is a Distance Learning/Multimedia Course please provide the following information. Distance learning/multimedia courses include Internet/Online, Audio, DVD/CD-ROM, Posters, Satellite, Video and Written/Correspondence courses. You must also attach your Post-Course Test with Answer Key and Letter of Supporting Statement from the accredited school/institution that is sponsoring the test. Tests must conform to COPE's Continuing Education with Examination Policy.
If this is a Correspondence Course, provide name of publication and date of appearance of the article.
Total Hours :
Total Course Fees :
Total Fees : (Price is in US Dollars)
CERTIFICATION OF COMPLIANCE By electronically submitting this form, you are certifying that the organization agrees to comply with COPE's Accreditation Criteria, Standards for Commercial Support and policies. Administrators/Providers understand that all materials submitted in support of an application for COPE review and accreditation become the property of COPE and will not be returned. Incomplete applications, and applications without fees or with incorrect fees, may be returned or rejected.
Submitting course information and payment.
