GAPA 2024 Winter CME Conference Speaker Application

The Georgia Association of PAs is seeking presentation proposals for our 2024 Winter CME Conference being held December 6 & 7, 2024 in Atlanta, GA at the Roam Peimeter Center 1151 Hammond Dr Suite 240, Atlanta, GA 30346. Your proposal should be formatted for a one (1) hour session (50-minute presentation with 5 minutes for questions at the end) focusing on asthma, pulmonary, allergy or dermatology topics. We are also interested in offering hands on workshops 2 hours maximum. Deadline to submit is August 30, 2024.

To ensure a balanced conference CME program is offered, all submissions are reviewed and evaluated by a committee of your peers. The evaluation process is competitive, and if selected, you will be notified by email or phone.

An honorarium of $750 per live lecture and $750 per workshop hour will be offered. Speaker expenses will include parking fees, and transportation reimbursement if located outside the Atlanta greater area.

Name: *

Credentials/Title: *

Address to send honorarium: street, city, state, zip *

Phone number you prefer to be contacted at (please specify if the number is work, home, or cell): *

Email Address: *

What is your speaking experience? *

Lecture Title: *

Brief Description: *

3 Lecture Objectives: *

Would you consider doing a hands on workshop? If so, which topic? *

Please select your preferred day to speak. *

Please disclose anything that is a conflict of interest below. *

Do you have any sponsors that you speak for currently or can share a contact that might sponsor GAPA due to your talk being on the agenda? *

Sign here for your certification that you disclosed everything. *

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