2023 GEMSA Providers & Educators Conference

2023 GEMSA Providers & Educators Conference - Call for Presentations - Submission Form
Speaker Information
Full Name*

First NameLast Name
Certifications and Credentials*
Example: NREMT-P, I/C, BS
Job Title*
Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Email Address*
Attach curriculum vitae*
Attach short biography*
(100 word maximum)
Attach publicity photo*
(jpg, 300 dpi)
If you have a co-presenter, please include their details below. If you do not have a co-presenter, please skip to the presentation information section.
Co-Presenter Name (if applicable)

First NameLast Name
Certifications and Credentials
Example: NREMT-P, I/C, BS
Job Title
Employer
Cell Phone Number

Area CodePhone Number
Email Address
Attach curriculum vitae
Attach short biography
(100 word maximum)
Attach publicity photo
(jpg, 300 dpi)
Presentation Information
Presentation Title*
Presentation would be applicable for:*

EMS ProvidersEMS EducatorsBoth Providers and Educators
Description of your presentation for event program*
(80 word maximum)
Objectives of your presentation*
Why you want to speak at the GEMSA Conference
Date Preferred (check all that apply)

Sunday, Oct. 15, 2023 (pre-conference session)Monday, Oct. 16, 2023 (morning pre-conference session-3 hrs)Monday, Oct. 16, 2023 (Conference starts at 12 pm)Tuesday, Oct. 17, 2023Wednesday, Oct. 18, 2023 (Conference ends at 12:00 pm)
Time Preferred

MorningAfternoonEither
Type of Session

Pre-Conference Session (4 hours)Pre-Conference Session (8 hours)Pre-Conference - Monday (3 hours)General Session (1 hr)Breakout Session (1 hr)
Audio Visual Equipment Needed

Laptop ComputerComputer ProjectionWireless Lapel MicrophonePodium MicrophoneSound System
Compensation
NATIONAL SPEAKERS

National speakers are from more than 350 miles from the conference location (Jekyll Island, GA) and present four or more lectures throughout the conference. Compensation is as follows:

--Lodging, meals and travel are covered by GEMSA.
--National speakers are also compensated a mutually agreed upon amount by GEMSA in addition to the above.

REGIONAL SPEAKERS

Regional speakers are from Georgia or within 350 miles of the conference location (Jekyll Island, GA) and present one or two sessions. GEMSA does not pay regional speakers for their presentation, but compensation is as follows:

--Presenters traveling 90 miles (one way) or greater receive one night hotel for each day speaking at the conference and a full conference registration.

--Presenters traveling less than 90 miles (one way) receive a mileage stipend as specified at the current IRS mileage rate and a full conference registration.
Role Desired*

National SpeakerRegional Speaker
Stipend or expenses you request to be covered (if applicable)
Any other details about your presentation you want us to consider
Compensation Agreement*

I agree to the above listing of compensation for my role desired, and will not hold GEMSA responsible for fees and expenses above those listed above.
Feel free to upload additional presentations/topics you want us to consider - with descriptions and objectives.

Browse Files

Cancelof
If you have more than one presentation to submit, you only need to submit this online form once. With your online submission, you can upload addition sessions using the field above.

Or you can send additional presentations with titles, descriptions and objectives to communications@georgiaemsassociation.com.
Please fill out the form completely or it will not be considered.
Submission deadline is March 1, 2023.
Questions? Contact Mary Napier at GEMSA at communications@georgiaemsassociation.com.
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2023 GEMSA Providers & Educators Conference - Call for Presentations - Submission Form

Speaker Information

Presentation Information

Compensation