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2023 Arrowhead EMS Speaker Application

Thank you for your interest in presenting at our 2023 Arrowhead EMS Conference and Expo. To be considered as a presenter, we need to know your area(s) of expertise and your proposal(s) for a presentation. Please complete and submit the presentation application form. Some important items to note:

Please complete one information form for each presentation.
Due to the high volume of proposals, if you are selected to present, our Project Coordinator will be in touch by June 30, 2022.
Any travel reimbursement request must follow Arrowhead EMS Association’s travel policy, which includes specific guidelines for our conference presenters. Please call 218-726-0070 for information.
Incomplete forms will not be considered.

Presentation Title(Required)

Presentation Phrase

(3-5 Words)

Presentation Description(Required)

Presentation Objectives(Required)

Target Audience

Advanced Life Support

Basic Life Support

Pediatric

Medical Director / Physician

CME

Fire Fighter/EMR

Law Enforcement

General

Add a Second Abstract?

Yes

Presentation Title(Required)

Presentation Phrase

(3-5 Words)

Presentation Description(Required)

Presentation Objectives(Required)

Target Audience

Advanced Life Support

Basic Life Support

Pediatric

Medical Director / Physician

CME

Fire Fighter/EMR

Law Enforcement

General

Add a Third Abstract?

Yes

Presentation Title(Required)

Presentation Phrase

(3-5 Words)

Presentation Description(Required)

Presentation Objectives(Required)

Target Audience

Advanced Life Support

Basic Life Support

Pediatric

Medical Director / Physician

CME

Fire Fighter/EMR

Law Enforcement

General

The following biographical information must be completed in its entirety for each presenter

Presenter's Name(Required)

First Last

Credentials(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Primary Job Title(Required)

Primary Agency Represented(Required)

Biographical Description(Required)

(1000 characters or less)

Presenter Fee / Special Requests(Required)

(Please be specific)

Will There Be Co-Presenters / Assistants?(Required)

Yes

No

Co-Presenter/Assistant Name:(Required)

First Last

Will This Co-Presenter / Assistant Request Payment?(Required)

Yes

No

Credentials(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Job Title(Required)

Biographical Description(Required)

(150 words or less)

Primary Agency Represented(Required)

Co-Presenter Fee / Special Requests(Required)

(Please be specific)

Add a Second Co-Presenter / Assistant?

Yes

Co-Presenter/Assistant Name:(Required)

First Last

Will This Co-Presenter / Assistant Request Payment?(Required)

Yes

No

Credentials(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Job Title(Required)

Biographical Description(Required)

(150 words or less)

Primary Agency Represented(Required)

Co-Presenter Fee / Special Requests(Required)

(Please be specific)

All presentation rooms will be provided with: • LCD Projector • Screen • Lavaliere microphone • Lap-top Computer

Additional Equipment Needs:

Additional Notes

Are You a Non-Presenter / Organizer Filling This Abstract on Behalf of Another Person?

Yes

Contact Name(Required)

First Last

Contact Title(Required)

Contact Organization(Required)

Contact Email(Required)

Contact Phone(Required)

E-Signuature

Our Project Coordinator will be in touch with you directly no later than June 30, 2022 if your proposal has been accepted. If you are selected as a presenter, we will send you a contract to sign and return.

I accept

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Phone

This field is for validation purposes and should be left unchanged.

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Arrowhead EMS Association Conference & Expo

4219 Enterprise Circle
Duluth, MN 55811
PH: (218) 726-0070

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Jan 25 - Jan 29

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