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External Event Intake form for BCDHA Calendar
by
BCDHA HQ
|
Jun 13, 2022
|
Events
Event Intake Form for Calendar
Event Name
(Required)
Event Sponsor
(Required)
What person(s) or organization is sponsoring this event?
Presenter(s)
(Required)
Please provide the names and professional designations for all presenters involved in this event.
Event Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
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25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
If multiple dates, asynchronous, or occurring over consecutive dates please mention this in the comments field at the end of the form.
Event Start Time
Hours
:
Minutes
AM
PM
AM/PM
Please indicate the time that the event will commence.
Event End Time
Hours
:
Minutes
AM
PM
AM/PM
Please indicate when the event is scheduled to conclude.
Registration Email/URL:
Course Media Promotion Page
Please include a link to any online content that promotes or mentions your events or events.
Registration Deadline
MM slash DD slash YYYY
This Event Will Occur
In Person Only
Online Only – A Virtual Event
Hybrid Event – In Person and Online
Will This Event be Recorded and Archived
This event will not be recorded or archived
This event will be recorded and archived and publicly available
This event will be recorded and archived and made available only to association membership.
Event Location – Geographic (if applicable)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please indicate the physical location of your event such as classroom, university or college, community centre, hotel ballroom, etc… Include all identifying details such as building name, street address, postal code, etc…
Event Location – Virtual, Online, Hybrid
Please share the direct link for any event that will be broadcast or livestreamed.
Event Description
(Required)
Please provide a short description of your event.
Banner or Event Graphic
Accepted file types: jpg, gif, png, Max. file size: 256 MB.
Please upload a web-resolution banner graphic to include with your listing (1000 x 600 preferred).
Location of Recorded and Archived Event
Please tell us where the recorded and archived event will be available for viewing in the future (i.e. the YouTube page for your organization)
CE Categories (please choose all that apply)
(Required)
A1-General & oral microbiology/infection control
A2-Biochemistry/nutrition/diet counselling
B1-Psychology/sociology
B2-Communication principles/behaviour management strategies
C1-Head, neck, oral and dental anatomy
C2-General & oral embryology, histology
C3-Radiography knowledge, interpretation
C4-General & oral pathology
C5-Dental materials
D1-Health assessment/pharmacology-prescribed and non-prescribed
D2-Periodontology-including assessment, diagnosis
D3-Non-surgical dental hygiene therapy-including instrumentation (hand and powered) and ergonomics
D4-Care of special needs population
D6-Primary prevention strategies-including oral self-care
D7-Emergency prevention & interventions
E1-Public health practice-including programming & client advocacy
E2-Health promotion & wellness strategies
E3-Research/epidemiology/statistics
F1-Ethics & jurisprudence-including legislation, regulation, QA, documentation
F2-Collaborative relationship, referrals, administration, practice management
For more information on CE QAP Content Subcategories please check out this ink: https://www.cdhbc.com/Professional-Development/Quality-Assurance/Help-Resources/QAP-Content-Categories-Updated-Expanded-Definition.aspx
Comments or Notes
Please use this space to provide other details or information about your event that wasn’t otherwise captured in this survey.
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