Speaker & Activity Planning Form (CPD Programs)

Speaker & Activity Planning Form (CPD Programs)

Speaker & Activity Planning Form 1
SECTION 1: Activity Overview

1. Activity Title:*

1. Activity Title:*

2. Type of Activity:*

2. Type of Activity:*

3. Number of Sessions:*

3. Number of Sessions:*

Total Duration (Hours)*

Total Duration (Hours)*

Expected No. of Participants*

Expected No. of Participants*

SECTION 2: Target Audience Profile

5. Target Audience Specialty / Profession:*

5. Target Audience Specialty / Profession:*

Check all that apply or specify:

6. Level of Experience:*

6. Level of Experience:*

Select the primary audience level:

7. Identified Learning Needs:*

7. Identified Learning Needs:*

Select or describe the specific needs the audience has:

SECTION 3: Learning Outcomes & Educational Goals

8. Educational Goals:*

8. Educational Goals:*

Briefly describe the main goal of the CPD activity – what is it trying to improve or achieve?

9. Intended Learning Outcomes:*

9. Intended Learning Outcomes:*

List 2-5 outcomes using “By the end of the session, participants will be able to…” format

SECTION 4: Speaker Criteria (for Planning Team Use)

10. Speaker Selection Criteria:*

10. Speaker Selection Criteria:*

Check all that apply for selecting speakers:

Meets Standard
Needs Improvement
Academic Qualifications
Professional Experience
Teaching / Presentation Skills
Communication Skills
Previous CPD / Training Experience
Reputation & Peer Feedback
Alignment with Learning Outcomes

11. Proposed Speaker(s):*

11. Proposed Speaker(s):*

Name(s), title(s), and qualifications (if known)

12. Supporting Documents

12. Supporting Documents

Upload any documents that support this activity planning:

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