APAAAI Call for Speakers Application

Please use this application to apply to speak at the 12th Annual Allergy, Asthma & ENT CME Conference, July 31st- August, 2nd, 2020 in San Antonio, TX.

Deadline Dates
Speaker Applications (January 15, 2020)
Contract With Title and Learning Objectives and Disclosure (February 1, 2020)
Introduction/Bio (May 31, 2020)
Electronic Presentation (May 31, 2020)

Will you be able to meet the above deadline dates? *

Yes

No

Remuneration

All speakers will receive complimentary registration for the 12^thAnnual Allergy, Asthma & ENT CME Conference. In addition to this benefit, speakers may request up to $600 in travel expenses (mileage, flight cost, etc), one-night hotel stay and an honorarium of up to $500 per lecture or workshop. APAAAI will not be able to reimburse more than the $600 of travel per speaker. Please make your flight arrangements earlier than 21 days out. Speakers invited to give additional presentations will be given an additional hotel room night stay if necessary. Reimbursement is contingent upon submission of the required receipts to APAAAI and will be payable within 60 days after the conference. APAAAI will offer you an additional $50 per lecture if you meet all deadlines.

I acknowledge and accept the terms outlined above. *

Yes

No

Name *

Email Address *

Professional Title

Organization

Phone Number

Topics of interest

Topics should be allergy, asthma & immunology related lectures with the most up-to-date information. Suggestions include: Dermatology, CIU, OIT, FPIES, Immunodeficiency basics - diagnosis and treatment and case studies, Atopic bowel disease, Mental Health and Allergy patients, VCD, Contact dermatitis, Fungal Sinusitis, Ophthalmology, COPD, Obesity and Asthma, Food Allergy, Immunotherapy Injections.

Title of Lecture *

List 3 Lecture Objectives *

Description of Lecture

Speaking Experience *

Preference of Speaking Time

Are you able to donate your time as a speaker or travel to the organization? *