Course Endorsement Application | American Society for Metabolic and Bariatric Surgery

Review the ASMBS Course Endorsement Policy prior to completing this application. Click here to submit an application by mail.

Please complete the following for your course, program or event:
Title*
Sponsoring organization (spell out name)*
Dates*
Location*
Website*
Expected number of attendees*
Will CME credits be issued?*
- Yes
- No
If the course, program or event is not organized by a non-profit organization or group please explain how profits will be used.
Attachment 1: Responsible persons list*
Max. file size: 16 MB.
A list of persons responsible for design, content formulation, faculty designation, and other organizational aspects of the program and contact information (including phone and email) for the primary program director. (Maximum file size: 8MB)
Attachment 2: Course brochure*
Max. file size: 16 MB.
A course brochure with course objectives, target audience, program outline with faculty or a draft of the program agenda with the faculty names. (Maximum file size: 8MB)
Course Endorsement Application Fee
Price:
Contact Email*
Enter Email Confirm Email
Credit Card*
Card Details
Cardholder Name

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