Application for training facility accreditation

This form to be used by a representative of an embryology facility to apply for accreditation as a training site. This is a preliminary form to give an education committee a general idea about your facility suitability as ACE training site. 

An applicant must be an individual who has been certified by ACE and an Embryologist (EMB) or is expected to be certified within 30 days following submission of this application.  

 The certificate number is located in the corner of your EMB certificate. 

 Include the name of an educational organization associated with your Embryology Facility.  

 Enter the number of egg retrievals performed during the past year. 

In order to qualify as ACE accredited training site your program must be rated within 25% best in the United States based on pregnancy rate per transfer for women under the age of 35 your facility has reported to SART/CDC in 2008. It must be 51% or higher OR your facility has to be within the top 25% for implantation rates resulting from single embryo transfers according to IVF REPORTSTM calculations extrapolated from the SART data. 

  

 Describe your reasons for applying to become American College of Embryology accredited training facility. 

 Attach and upload any additional documents which you would like to be considered during your application review. 

 Attach and upload any additional documents which you would like to be considered during your application review. 

 Attach and upload any additional documents which you would like to be considered during your application review. 

By signing this application I certify that the above information is accurate to the best of my knowledge. 

Sign your application as / John Smith /