Authorization to use the AAPG LACR certificate template for chapter events
Please complete the following information if you are willing to use the AAPG certificate template for an activity conducted by your chapter.
Email
example@example.com
Student or YP Chapter Name
Title of the activity
Type of activity
Talk/lecture
Course
Workshop
Other
Start date of the activity
-
Month
-
Day
Year
Date
End date of the activity
-
Month
-
Day
Year
Date
Total duration of the activity (hours)
What type(s) or certificate(s) will you be issuing?
Appreciation (eg. for presenters)
Participation (eg. for participants)
Why do you think this activity requires certificates? What are the requirements for a person to obtain the certificate (e.g. attendance, percentage of participation, evaluation, contribution, etc.)?
Who will be signing the certificates?
The certificate template includes two signatures. Please specify who will be signing them. In case you want to include the signature of the region's President, Manager, or Education Director, please check YES in the next question and write an email to lacevents@aapg.org.
Do you want to request for authorization to use the region's President, Manager, or Education Director signature?
Yes
No
If you select YES, please finish completing this form and send an email afterward to lacevents@aapg.org with your request. It will be processed and we will let you know in case you are authorized to use their signature. Please keep in mind that this process may take up a few days to give you an answer.
List of certificates to be issued
Please write all the names of the people who will be receiving the certificates - separated by a semicolon ;
Submit
Should be Empty: