2025 Georgia One Health Symposium Registration Form

Full Name*

First NameLast Name

Title

Organization

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you plan to submit for a travel award? Please note travel award applications are due on August 1 (5pm).*

YesNoUndecided

You can find the Georgia One Health Travel Award Application here.

Current Professional Role*

Years of Experience in One Health/Related Fields*

Are you a member of the Georgia One Health Consortium?*

YesNoNo, but I would like to sign upOther

You can sign up to be a part of the Georgia One Health Consortium here

Please submit a headshot for inclusion in the Symposium Program.

Please submit a short bio for inclusion in the Symposium Program (200 words). *

0/200

Primary Areas of Interest (Check all that apply):*

Dietary Restrictions*

Accessibility Needs*

I am interested in having a table to pass out programmatic materials.*

YesNo

I am interested in volunteer opportunities during the Symposium.*

YesNo

I am interested in presenting at the Symposium should the opportunity be available.*

YesNo

Please provide emergency contact information since travel is involved.

What are you most excited about seeing at this Symposium? Is there anything else you would like us to know?

IMPORTANT HOTEL BLOCK INFORMATION

We’ve reserved a block of rooms at the Holiday Inn Express in downtown Statesboro for the nights of September 3rd and 4th. The hotel is located at 427 South Main Street, right along the Blue Mile and conveniently situated:

1 mile from the Georgia Southern Museum (location for “Night at the Museum” on 9/3)
1.1 miles from the Georgia Southern Incubator Expansion (Symposium location on 9/4)

The hotel offers:

Complimentary Wi-Fi
Complimentary continental breakfast and in-room coffee
Access to a fitness center and outdoor pool

To reserve a room under our block at the guaranteed rate of $119/night, please:

1) Call (912) 205-5999 and mention that you are part of the "One Health Symposium" group.

OR

2) Reserve online here:
Holiday Inn EXPRESS Downtown Statesboro Booking Link- One Health Symposium
Block Code: OHS

Reservations must be made by August 13th to secure this rate.

For more information about the hotel and its amenities, visit:

Holiday Inn Express – Statesboro

Please select submit to confirm your registration below. You will receive additional information as the Symposium date approaches. We respectfully request you inform us prior to August 20 if you can no longer attend the Symposium. Cancellations after this date will cause us to still incur costs for your registration.

Registration Form

**You can sign up to be a part of the Georgia One Health Consortium here**

IMPORTANT HOTEL BLOCK INFORMATION

You can sign up to be a part of the Georgia One Health Consortium here