1 Start 2 Complete To help ensure independence of CME activities, the Society for Neuro-Oncology requires everyone in a position to control the content of a CME activity disclose all financial relationships with an ACCME-defined commercial interest. The Society for Neuro-Oncology must resolve all financial relationships that pose a relevant conflict of interest (COI), prior to launch of a CME activity, and all relevant COIs must be disclosed to participants prior to their engagement in a CME activity. Name of Individual * Affiliation * Role in CME Activity * Faculty Planner Moderator CME Activity Title * CME Activity Launch / Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Disclosure * No, I have no relevant personal financial relationships for either myself or my spouse. Yes, I have relevant personal financial relationships for either myself or my spouse, and I will control educational content about the products of the commercial interest. Leave this field blank