Faculty Request Form

Faculty Request Form

Sea Courses and our educational partners provide accredited medical, dental, and health related conferences onboard cruise ships, at resorts, and custom land tours. There is always a need for great speakers to present at future CME courses and your application will assist us to provide top quality educational events.
Please complete this form by filling out all the required information and hitting the "submit" button and you will be contacted by a member of our CME Advisory Team when there is a speaking or faculty opportunity for your consideration.
Your Information
Prefix
First Name*
Last Name*
Medical Specialty*
Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Languages Spoken*

EnglishFrenchOther
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Include topics you have presented in the past 6 - 12 months and a copy of evaluation / comments. There is no need to send a list of publications, articles, etc
Cruise History
Have you cruised before?*

YesNo
What Cruise Line?
Have you cruised with Sea Courses?*

YesNo
Have you participated in any Land Based CME?

YesNo
When participating as a speaker, would you travel ....

With CompanionWith Friends/Family
Travel Destination Preference

Please indicate destinations you would like to travel to as faculty on a future Sea Courses CME course. As best possible we strive to match speaking invitations with your choice of preferred future destination.
Preferred Length of Trip
Which of the following CRUISE destinations would you consider as a speaker?*
Which of the following RESORT destinations would you consider as a speaker?
Which of the following LAND TOUR destinations would you consider as a speaker?
If you have a preferred time of year for travel, or would like to work around certain holidays or school breaks, please list below.
Faculty Guidelines

To comply with CME accreditation policies, our educational development team has established the following guidelines for our speakers:
- Speakers are responsible for 100% of their travel costs including cruise/resort/tour and flights
- Speakers receive a stipend based on the number of sessions / hours they present
- Speakers receive complementary conference enrolment
- Speakers receive a Certificate of Attendance along with the associated credits
- Speakers to be experts in their field and have an engaging speaking style
- Sessions to be concept-focused, evidence-based, and practical (not too academic)
- Sessions to be generic (i.e.) not pharma or product biased
- Speakers will be requested to complete a Statement of Disclosure and include Conflict of Interest slides in PPTs
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