CT(IAC) and CT(IAC-gyn) renewal for sticker 2023-2026 | The International Academy of Cytology

For this form you will require:

Information about your employment in the field of cytology for the years of your last sticker
Information about your personal attended further educational activities in the field of cytology and cytology related fields. If you have many activities please upload these as a separate document.
Information about any teaching material you have created new
Information about any papers, posters or publications you have worked on
Information about cytology related research

Contact Information

Hidden

Date

Your Given Name(Required)

Given Name

Your Family Name(Required)

Family Name

CT(IAC)/ CT(IAC)-gyn) number(Required)

Your email(Required)

Please enter your contact email

Where shall we send your sticker? We need a correct postal address.

Please enter a full postal address

If you wish to have correspondence sent to your place of work please include the department as well as the institute name. The last line is always your country. If you wish to have correspondence sent to your place of work please include the department as well as the institute name. The last line is always your country. Please do not try to fit your address on one line.

Address Line 1(Required)

Address Line 2

Address Line 3

City / Town(Required)

Postal Code

(If required) State / Region /Province

Not every address requires a state

Country(Required)

CATEGORY 1 EMPLOYMENT IN CYTOLOGY (Max points 100)

Name and address of Laboratory Director(Required)

Category 1 Points for employment in the field of cytology (2019-2022)(Required)

Full- time (100%) 100 points

Part-time (60-90%) 75 points

Part-time (50% or less) 50 points

CATEGORY 2: YOUR PERSONAL EDUCATIONAL ACTIVITIES (Max. Points 140)

We wish to know about your activities. Have you attended meetings, read specialist literature, taken part in courses, meetings, lab. internal learning? 1 point for 1 hour of your participation. If it is easier, combine events that are the same. (2020: 12 x in-house lab reviews)

If you require more space please upload your list as PDF and note the points below.

Date, name of event(Required)

Meetingname + Date

Credit points(Required)

Please enter a number from 1 to 50.

Date, name of event(Required)

Credit points

Please enter a number from 1 to 50.

Date, name of event

Credit points

Please enter a number from 1 to 50.

Date, name of event

Credit points

Please enter a number from 1 to 50.

Do you wish to upload a list with further activities?

no

yes

Upload a list of your educational activities

Drop files here or

Accepted file types: pdf, jpg, png, docx, xlsx, Max. file size: 146 MB, Max. files: 2.

How many points are on the uploaded sheet?

Please enter the points you have noted on the uploaded list.

Please enter a number from 1 to 150.

Category Two - Your personal education points TOTAL

CATEGORY 3: TEACHING MATERIAL YOU HAVE PREPARED (Max. points 60)

Have you prepared any new teaching material?(Required)

Workshops/ Lectures / Seminars

No

Yes

One point for each hour of preparation time for NEW material for cytotechnology teaching.

2019 - 2022

Date, Type of event

Credit points

Please enter a number from 1 to 30.

Date, Type of event

Credit points

Please enter a number from 1 to 30.

Date, Type of event

Credit points

Please enter a number from 1 to 30.

Category 3 Teaching material you have prepared TOTAL

CATEGORY 4: PAPERS, PUBLICATIONS, BOOKS AND EXHIBITS (Max points 80)

One point for each hours of preparation for new material

Have you prepared new material for publication?(Required)

No

Yes

Date and Publication or Exhibit title(Required)

Credit points(Required)

Please enter a number from 1 to 30.

Date and Publication or Exhibit title

Credit points

Please enter a number from 1 to 30.

Category 4 New material for publications TOTAL

CATEGORY 5: RESEARCH IN CYTOLOGY (Max points 40)

Have you participated in research?(Required)

No

Yes

Short summary of your personal research activities(Required)

Category 5 Credit points for cytology research (max 40)

Please enter a number from 1 to 40.

Please describe the research and estimate your points. Maximum 40 points

Summary (180 required)

2019-2022

Category 1 Employment in Cytology

Category 2 Your further education

Category 3 New teaching material

Category 4 Publications

Category 5 Research in Cytology

2019 - 2022 Total points

Declaration of honesty(Required)

I declare that to the best of my knowledge the above information is correct

Total Points (180 required)

If you have not attained 180 points please contact the office in Freiburg if you wish to explain your situation.

After submit, you will be redirected to a payment portal. CMIAC do not have to pay the renewal fee. The renewal fee is Euro 12 and can be paid on-line by credit card or Paypal.

Renewal for CT(IAC) and CT(IAC-gyn) 2023 - 2026 Sticker

Contact Information

Where shall we send your sticker? We need a correct postal address.

CATEGORY 1 EMPLOYMENT IN CYTOLOGY (Max points 100)

CATEGORY 2: YOUR PERSONAL EDUCATIONAL ACTIVITIES (Max. Points 140)

CATEGORY 3: TEACHING MATERIAL YOU HAVE PREPARED (Max. points 60)

CATEGORY 4: PAPERS, PUBLICATIONS, BOOKS AND EXHIBITS (Max points 80)

CATEGORY 5: RESEARCH IN CYTOLOGY (Max points 40)

Summary (180 required)