2025 - Bioskills Workshop Application

Bioskills Workshop Application

Exhibiting Company:*

Contact Name:*

E-mail*

Phone Number:*

Title of Workshop*

Title can be updated at later time

Specialty*

Provide a brief description of the workshop including the procedure to be performed and the product demonstrated:*

Rank your workshop's preferred dates below. A minimum of three (3) selections are required for submission.*

	1st Preferred Date	2nd Preferred Date	3rd Preferred Date
Tuesday, March 11
Wednesday, March 12
Thursday, March 13

Select the time slot of the workshop:*

Half Day: 8:00 a.m. - 12:00 p.m - $24,000Half Day: 1:00 p.m - 5:00 p.m. - $24,000Full Day: 8:00 a.m - 5:00 p.m - $48,000Two-Hour: Times vary -$13,000Early Morning: 7:00 a.m. - 9:00 a.m - $13,000Evening: 6:00 p.m - 8:00 p.m. - $13,000Custom Time Slot: Other than the time slots listed

Custom Time Slot Preference

Date Preference

Which is more important for your workshop: the time slot or date?*

Time SlotSpecific Date

Will your workshop be invite-only, or open to all medical attendees?*

InvitationOpen to All Medical Attendees

Lab Set Includes:

Four (4) fully equipped workstations
Electrical power at each workstation
General hand instruments provided
Washing, decontamination tools, and disposal services
Table lighting for optimal visibility
Station disposables (gauze, gloves, etc.)
Full set of PPE, scrubs, lead vests, and thyroid collars for safet

Each lab setup includes up to 4 workstations. Please confirm the number of workstations required for your workshop:*

4 workstations3 workstations2 workstations1 workstations

Event Tissue Specimen Requirements:
Due to the complicated coordination of handling and disposal logistics, all specimens must be ordered through Surgical Training Institute (STI). An order form with pricing will be provided with confirmation of the workshop. Final tissue specimen requests must be placed with STI by January 20, 2025. Reduction or cancellation of tissue specimen orders may be done without penalty before February 10, 2025.

Will your workshop require human anatomical specimen?*

YesNo

Bioskills Workshop Terms and Conditions

I am an authorized representative of the company named above and with the full power and authority to sign and deliver this application. The company listed above agrees to comply with all of AAOS policies, rules, and regulations contained in the Bioskills Workshop Brochure, Exhibit Prospectus and all policies, rules and regulations adopted after publication of each, which we accept as part of this agreement.

Electronic Signature:*

Title:*

Date:

For questions about workshops or assignments, contact Noel Sierra at sierra@aaos.org.

For questions about specimens and equipment, contact Kerry Vault at kvault@mobilesti.com.

Check if interested in a custom time slot or an evening Bioskills Workshop

Custom Time SlotEvening (6 - 8 PM)

Select all equipment required:

Number of Extra C-arms:

Number of Extra Work Stations:

Special notes or instructions: