ABOUT THIS FORM
This form allows your chapter to indicate your intent to participate in any of the following chapter programs. Staff will reach out to you in accordance with your preferences:
• Chapter Visitation Program (1 ACR speaker per chapter per year – speaker expenses covered)
• RLI Chapter Speaker Program (RLI faculty attend meetings to present on leadership topics – speaker honoraria covered)
• Chapter CME Program (aids chapters in accrediting their meeting sessions for CME – a cost is associated with this service)
• Member of Congress Program (assists chapters in inviting a Member of Congress (MOC) or state legislator to a chapter meeting)
Items marked with an asterisk (*) are required fields.