GEMSA Leadership Conference - Call for Presentations

2024 GEMSA Directors & Leadership Conference - Call for Presentations - Submission Form

Do you want to present at the 2024 GEMSA Directors & Leadership Conference March 27-29, 2024 at Lake Lanier? If so, please fill in your details below. Submission deadline is September 30, 2023.
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*
Description of your presentation for event program*
(80 word maximum)
Objectives of your presentation*
Why you want to speak at the GEMSA Conference and how your presentation will be beneficial for directors and leaders.
Date Preferred (check all that apply)

Wednesday, March 27, 2024 (conference begins at 12 pm)Thursday, March 28, 2024Friday, March 29, 2024 (ends at 12 pm)
Time Preferred

MorningAfternoonEither
Audio Visual Equipment Needed

Laptop ComputerComputer ProjectionWireless Lapel MicrophonePodium MicrophoneDVD PlayerSound SystemOther
Compensation
NATIONAL SPEAKERS

National speakers are from more than 350 miles from the conference location (Buford, GA) and present four 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 (Buford, 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
If National Speaker, what is your usual honorarium per day or per session?
Special Needs
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.
If you have more than one presentation to submit, you only need to submit this online form once. After your first online submission, 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 Sept. 30, 2023.
Questions? Contact Mary Napier at GEMSA at communications@georgiaemsassociation.com.
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2024 GEMSA Directors & Leadership Conference - Call for Presentations - Submission Form

Speaker Information

Presentation Information

Compensation