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STANDARD EVENTS
Standard Events
Definition:
Standard Events are all Chapter, regional, local, and co-sponsored events that do not meet the SOPHE
National and Chapter Annual Event criteria. National Standard Events include Distance Learning Events
and Co-sponsored Events that are reviewed and receive a National Event number.
Criteria:
These forms must be used. Substitution is not allowed
There must be a minimum of one (1) CHES on the planning committee
National Events will be given a National CE Event number once the completed materials are received
and approved by the CE Committee. Chapter Events should be given a Chapter CE Event number
when received and approved by the Chapter CE Committee. The CE committee will then send a
“Participant Roster”, “Final Roster Form”, “Certificate of Attendance” and an “Event Report Form”
with the event number to the contact person. These forms must be used, substitution is not
allowed.
The Event Brochure must include wording indicating that the event has been approved to offer CHES
CECHs. The suggested wording is:
“An application has been submitted to SOPHE to award Category I CHES CECH. The Society
for Public Health Education Inc. (SOPHE) is a designated provider of Continuing Education
Contact Hours by the National Commission for Health Education Credentialing.”
The event must be at least two hours in length. To calculate the total number of Continuing
Education Contact Hours: count the total hours for the Event including all sessions but not including
welcoming remarks, breaks, exhibits, poster sessions, meals, and receptions.. This will be the rough
number of hours and should be rounded to the closest one half-hour. For example: two hours and
fifteen minutes = 2.5 CECH, two hours and ten minutes = 2.0 CECH, two hours and thirty-five
minutes = 2.5 CECH, and two hours forty-five minutes = 3.0 CECH.
Application Instructions:
Fill in all of the requested information and attach the required materials as listed in the Standard
Application Cover Sheet. These forms (Standard Application Form, Standard Event Application
Cover Sheet, and the Individual Session Application Form) must be used, substitution is not
allowed.
Three (3) copies of the completed forms must be sent to the Continuing Education Committee Chair at
least 45 days prior to the Event. National Events should be sent to the Director of Professional
Development who will then send them to the National Review Sub-Committee. Chapter Events
should be sent to the Chapter CE Chair for distribution to the Chapter review Committee.
Event Review Process:
The Review Sub-Committee members verify that the event offers educational experiences which assist in
the development or enhancement of knowledge and/or skills directly related to the seven responsibilities
and related competencies for entry level health educators, that the number of CECH applied for is correct,
and that the requirements of NCHEC are met.
Record keeping for Standard Events:
SOPHE will maintain the full application and all the materials sent with the Report Form after the event
for five years. National Events will have record keeping done by the National Office. Chapter Events
will have record keeping done by the Chapter CE Committee (when CE Chairs change the records should
be transferred to the new chair as soon as possible to eliminate the possibility of records being lost).
Post Event Reporting:
Within 30 days after the event the completed Event Report form must be sent to the National Office.
Event Report form requires: (1) the completed and typed Final Roster Sheets, (2) summary of the
evaluations, (3) number of participants obtaining CECH, (4) total number of CECH awarded, and (5) the
administrative fee payable to National SOPHE.
Fees:
Administrative fees are in place to recoup some of the cost to provide quality continuing education.
Chapter events fees are set at $1.00 per contact hour for the credit hours awarded .Distance Learning
Events fee are set at $5.00 per contact hour (for National and chapter members) and $7.00 (non-
members). Journal self-study fees are set at $7.00 (National members) and $14.00 (non-members) per
CECH.
Chapters may charge a higher administrative fee to recoup the cost of providing credits.
Quality Assurance:
SOPHE maintains ongoing quality assurance review of all events. The method employed is up to the CE
Committee on either a National or Chapter level. The annual report of the CE Committee will contain
information from the quality assurance review of each group. The National CE Committee reserves the
right to request any materials related to the CHES CECH approval process, if there have been any quality
assurance issues brought to the attention of the committee or the National Office.
Application Cover Sheet
For
Standard Events Sponsored by SOPHE
Name of Event:
Date of Event:
Name of Sponsoring Organizations(s):
Contact Person:
Address:
City: State: Zip:
Telephone: Fax: E-Mail:
Please check to make sure that the following have been included in the application:
A completed Application Cover Sheet
The completed Event Application Form
The Event Brochure-Must include appropriate wording for CHES credit
Evaluation Tool(s) to be used (individual sessions and program if different)
Within 30 days following the event you must complete and return the Provider Event Report Form
and required paperwork to the chapter continuing education chair or designated person. If a
National event to the National Office.
After the application has been approved and a CE number assigned, the chapter CE contact will
provide:
Participant Roster form
Certificate of Attendance
Society for Public Health Education, Inc.
Standard Event Application Form
for CHES Continuing Education Credits
Directions:
Complete all of the following information and attach the required materials as listed on the Annual
Event Application Cover Sheet.
Return the completed form(s) to the CE Committee Chair at least 45 days before the Event.
There must be a minimum of one (1) CHES on the planning committee and the event must be at
least two hours in length.
Calculate the total number of Continuing Education Contact Hours: Count the total hours for the
event including all sessions but not including welcoming remarks, breaks, exhibits, poster sessions,
meals, and receptions. This will be the rough number of hours and should be rounded to the closest
one half hour. For example: two hours and fifteen minutes = 2.5 CECH, two hours and ten minutes
= 2.0 CECH, two hours and thirty-five minutes = 2.5 CECH, and two hours forty-five minutes = 3.0
CECH.
National Events will be given a National CE Event number once the completed materials are received
and approved by the CE Committee. Chapter Events should be given a Chapter CE Event number
when received and approved by the Chapter CE Committee.
Part I Provider Information:
Organizing name:
Address:
City: State: Zip:
Telephone: Fax: E-mail:
Contact person:
Title:
Address (if different):
Phone/Fax/E-Mail (if different):
Part II Event Planning Committee (must include at least one CHES):
Chair: CHES #:
Organizational affiliation:
Member: CHES #:
Organizational affiliation:
Member: CHES #:
Organizational affiliation:
Member: CHES #:
Organizational affiliation:
Member: CHES #:
Organizational affiliation:
(Use separate sheet to list additional planning committee members)
Part III Event Information:
Event title:
Date(s) of event:
Location of event:
Type of event: conference seminar workshop
directed self-study distance learning other:
Maximum number of CECH (1 CECH = 60 minutes) attainable by an individual at this event (includes
conference, pre and post conference workshops but does not include poster sessions, business meetings,
welcoming remarks, breaks, receptions, and exhibits):
Briefly explain how the need for this event was determined.
Check the area(s) of Responsibilities for Health Educators that are met by the session(s)
behavioral/learning objectives. A single two hour event need only address one Responsibility.
Assessing individual and community needs for health education.
Planning effective health education events.
Implementing health education events.
Evaluating effectiveness of health education events.
Coordinating provision of health education services.
Acting as a resource person in health education.
Communicating health and health education needs, concerns and resources.
Part IV. SOPHE Contact :
Please address all questions to and return all completed application materials and the Event Report Sheet
after the event to:
Name: Angela Musella, MA,CHES
Title: Assistant Health Officer
Address: Montclair Health Department
205 Claremont Ave.
City: Montclair State: NJ Zip: 07042
Phone: 973-509-4969 Fax: 973-509-1479 E-Mail: armusella@yahoo.com
Please attach:
Event Brochure (Must include appropriate wording about CHES credit).
Evaluation Tool(s) (sample of both session tools and program tool if different).
Individual Session Application Form(s) one for each session at the event.
Within 30 days after the event the completed Event Report form must be sent to the
Continuing Education Chair. The Provider Event Report form requires the completed typed
information:
Final Roster Sheets
Summary of the evaluations
Number of participants obtaining CECH
Number of CECH awarded in total
Fees for the credit hours awarded.
Society For Public Health Education Inc.
Individual Session Application Form For CHES Continuing Education Contact Hours
Session Title:
Please include complete data for all presenters (use the reverse side for additional speakers)
Presenter Name:
CHES # (if Applicable)
Current Position (Title):
Organization:
Work Address:
Daytime Phone/FAX: Email:
For additional speakers please use the reverse side of this form.
Behavioral Learning Objectives
By the end of the session the participant will be able to:
(1)
(2)
(3)
Responsibilities for Health Educators that are met by the session(s) behavioral/learning objectives. A
single two hour event need only address one Responsibility.
Assessing individual and community needs for health education.
Planning effective health education events.
Implementing health education events.
Evaluating effectiveness of health education events.
Coordinating provision of health education services.
Acting as a resource person in health education.
Communicating health and health education needs, concerns and resources.
• 2 • Presenter Name:
CHES #
Current Position (Title):
Organization:
Work Address:
Daytime Phone/FAX: Email:
• 3 • Presenter Name:
CHES #
Current Position (Title):
Organization:
Work Address:
Daytime Phone/FAX: Email:
• 4 • Presenter Name:
CHES #
Current Position (Title):
Organization:
Work Address:
Daytime Phone/FAX: Email:
Writing Objectives
Objectives for the program and for individual sessions must be measurable in some way. Behavioral or
learning outcome objectives are specific and measurable.
In writing a behavioral objective the first step is to start with the key phrase:
“By the end of the session/program the participant will be able to:”.
This is followed by a verb that expresses a level of understanding ranging from the simplest to the most
complex. For most of the Category I programs the two simplest forms, knowledge and comprehension,
are probably not appropriate. A level higher on the taxonomy is preferable. These levels would be those
of application, analysis, evaluation, or synthesis. The list that follows is not all-inclusive. There are other
verbs that also demonstrate application and problem solving.
Application Analysis Evaluation Synthesis
interpret distinguish judge compose
apply differentiate appraise plan
use calculate rate propose
demonstrate contrast compare design
practice compare value arrange
illustrate criticize estimate assemble
operate question revise create
sketch solve assess set up
dissect measure organize
formulate
In preparing the application forms define the key elements that participants should get from the
presentation. Then use the above behavioral terms to expand the key sentence. Make sure that you
supply enough behavioral/learning objectives so the participant understands what the whole session will
include.
For example:
By the end of the session participants should be able to:
design a prevention program utilizing the stages of change theory concepts given in the session.
Instructions for Evaluating the Conference Instructions for
Evaluating the Conference
And Requesting Continuing EducationAnd Requesting
Continuing Education
Your feedback is important to us and helps us continue to create a program that meets your needs. It also
allows us to consider new opportunities and content that adds value for SOPHE members. You must
complete this booklet if you wish to receive continuing education credit. For the value of having your
feedback, you are strongly encouraged to complete this booklet even if you are not seeking credit.
1. Each day, complete and sign an evaluation form for each session attended (must be signed to validate
attendance for Continuing Education credits). You must answer all questions to receive credit. Forms are
included for each session. Find and complete only the forms for the sessions you attended.
2. Each day, mark the Participation Record indicating the sessions you attended by placing an X in the box on the
matrix next to the session title. At the end of the Conference, total the number of credits you earned in the
column labeled for the credits for which you are applying.
3. Complete and sign the overall Conference Evaluation at the back of this booklet.
4. To receive credit, complete and sign the Continuing Education Form on the next page.
5. For those seeking continuing education credit, please return this entire booklet to the Continuing Education
Table in the Registration Area.
6. All others can drop it off at the Registration Desk.
Do not remove any forms from this booklet.
Society for Public Health Education, Inc.
750 First Street, NE, Suite 910
Washington, DC 20002
(202) 408-9804 (202) 408-9815 FAX
Event Title
Continuing Education Form and Participation Record
If you are applying for Continuing Education you must complete all of this form and print and sign your name
on the bottom of the overall Conference evaluation form and the evaluation form for each session you attend.
Return this to the Continuing Education Desk (in the Registration Area) or at the Registration Desk before you
leave.
Which type of Continuing Education Credit are you applying for?
CECH (health educators)
Other:_____________________________________
The following information is REQUIRED for ALL participants requesting Continuing Education credits or
a certificate of attendance (please print):
Name: Signature:
CHES #
Address
City, State and Zip:
Phone: Fax: Email:
Instructions for completing the following table: Each day, mark the Participation Record on the
following two pages indicating the sessions you attended by placing an “X” in the box on the matrix
next to the session title. At the end of the conference, total the number of credits you earned in one
of the far right columns, depending on the type of credit you’re requesting (e.g., for health
educators) and according to the sessions you attended.
Take Note:
Keep track of your attendance each day and create daily subtotals. Then, at the end of
the conference, total all days for your total credit requested.
Participation Record
X SESSION NAME Time (CHES)
(indicate participation by placing an “X” next to the session titles) 0.0 CECH
Pre-Conference Workshops - "X" below
Workshop I - Time 0.0
Workshop II - Time 0.0
Workshop III - Time 0.0
Workshop IV - Time 0.0
Number of hours requested for DATE based on sessions
attended
Plenary Sessions
Session #1 Time 0.0
Session #2 Time 0.0
Concurrent Sessions I - "X" only one below
Concurrent #1 Time 0.0
Concurrent #2 Time 0.0
Concurrent #3 Time 0.0
Concurrent #4 Time 0.0
Concurrent #5 Time 0.0
Concurrent Sessions II-"X" only one below
Concurrent #1 Time 0.0
Concurrent #2 Time 0.0
Concurrent #3 Time 0.0
Concurrent #4 Time 0.0
Concurrent #5 Time 0.0
Concurrent Sessions III- "X" only one below
Concurrent #1 Time 0.0
Concurrent #2 Time 0.0
Concurrent #3 Time 0.0
Concurrent #4 Time 0.0
Concurrent #5 Time 0.0
Plenary Session
Session #3 Time 0.0
Number of hours requested for DATE based on sessions attended
Concurrent Session IV- "X" only one below
Concurrent Session #1 Time 0.0
Concurrent Session #2 Time 0.0
Concurrent Session #3 Time 0.0
Concurrent Session #4 Time 0.0
Concurrent Session #5 Time 0.0
Plenary Session
Session #4 Time 0.0
Session #5 Time 0.0
Number of hours requested for DATE based on sessions attended
Total the hours requested for ENTIRE CONFERENCE based on sessions
attended
[add all dates together]
(participant to complete)
Session Evaluation Forms
Day
DATE
Conference Goal:
Conference Objectives:
Session Evaluation Form
Session Title:
Date: Time:
The following questions measure how well the session objectives were met, evaluate the
speaker(s) and session content. If you are applying for continuing education contact hours
(for any discipline) you MUST complete all questions, print and sign your name at the
bottom of each form. Circle the number that best represents your opinion regarding this
session and add additional comments as suggested.
Objectives: By the conclusion of this session, participants will be able to:
(1)
(2)
(3)
Strongly Strongly
disagree agree
Based on the presentations given in this session:
I am confident that I can achieve objective 1. 1 2 3 4 5
I am confident that I can achieve objective 2. 1 2 3 4 5
I am confident that I can achieve objective 3. 1 2 3 4 5
The session objectives were relevant to the conference goal. 1 2 3 4 5
If you do not feel confident that you can achieve either of the above objectives to some extent, why
not?
___________________________________________________________________________________
________
The session content is relevant to my practice. 1 2 3 4 5
The presentation was clear and to the point. 1 2 3 4 5
The method used to present the material was effective. 1 2 3 4 5
Presenter 1 demonstrated mastery of the topic. 1 2 3 4 5
Presenter 1 was responsive to participant concerns. 1 2 3 4 5
Presenter 1 was a knowledgeable presenter. 1 2 3 4 5
Presenter 2 demonstrated mastery of the topic. 1 2 3 4 5
Presenter 2 was responsive to participant concerns. 1 2 3 4 5
Presenter 2 was an effective presenter. 1 2 3 4 5
Presenter 3 demonstrated mastery of the topic. 1 2 3 4 5
Presenter 3 was responsive to participant concerns. 1 2 3 4 5
Presenter 3 was an effective presenter. 1 2 3 4 5
Additional comments on this speaker or session:
Overall
Conference
Evaluation
Form
Overall Conference Evaluation Form
Event Title
Conference Goal:
Conference Objectives: At the conclusion of this Conference, participants will be able to:
On Questions 1 - xx, circle the number that best represents your opinion regarding the
entire conference.
Strongly Strongly
Disagree Agree
(1) I am confident that I can achieve conference objective 1. 1 2 3 4 5
(2) I am confident that I can achieve conference objective 2 1 2 3 4 5
(3) I am confident that I can achieve conference objective x 1 2 3 4 5
(4) I am confident that I can achieve conference objective x. 1 2 3 4 5
(5) Objectives were relevant to the goal of Conference. 1 2 3 4 5
(6) The length of time was adequate for learning. 1 2 3 4 5
(7) The conference content was relevant to my work. 1 2 3 4 5
(8) Overall, the instructors were knowledgeable. 1 2 3 4 5
(9) Overall, the teaching methods were effective. 1 2 3 4 5
(10) The conference materials, handouts & audiovisuals were helpful. 1 2 3 4 5
(11) The physical facilities were appropriate for the conference. 1 2 3 4 5
(12) The conference was timely in terms of public health or 1 2 3 4 5
education practice.
(13) [OPTIONAL]
I prefer a videotape format for post conference distance learning. 1 2 3 4 5
(14) [OPTIONAL]
I prefer an audiotape format for post conference distance learning. 1 2 3 4 5
(15) [OPTIONAL]
The conference evaluation and continuing education process 1 2 3 4 5
was well organized.
PLEASE COMPLETE OTHER SIDE ALSO
What was the most useful part of the conference?
What was the least useful part of the conference?
Two ways I plan to use what I have learned during the conference are:
What other topics or speakers would you like included in this conference in the
future?
Additional Comments/Observations/Suggestions:
