Education Management Solutions 2019 Summit Registration

Join us for the

12th Annual EMS Summit

Bridging the Gap between Simulation and Patient Care

hosted by

Center for Advanced Medical Learning and Simulation at USF Health
Tampa, FL
July 15-17, 2019

This is an exclusive event for customers of EMS simulation solutions and users of the SIMULATIONiQ^TM and Training in Motion products.

Participate in customer-focused sessions describing solutions for Interprofessional education, simulation event and program evaluation, learner and faculty assessments, designing training videos, SIMULATIONiQ tips, and more! Join your colleagues, content experts and guest speakers as you participate in workshops, sessions and hands-on learning.

The registration fee is waived for EMS customers. Your only expense will be your travel and accommodations.

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* 1. Tell us about you! (Please complete a separate registration form for each individual attending)

Full Name *

Company: *

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code:

Country:

Email Address: *

Phone Number: *

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* 2. REGISTER FOR A PRE-SUMMIT WORKSHOP!
Take advantage of one of these free courses
Monday, July 15
9:00 am to noon

SIMULATIONiQ Enterprise Foundations - Intended Audience = New Users

SIMULATIONiQ Tips for Experienced Users: scheduling, user management, reporting

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* 3. Register for the Summit dates you will attend. (check all that apply!)

Summit: Monday, July 15, (Summit opens at 2:00 pm)

Summit: Tuesday, July 16

Summit: Wednesday, July 17 (Summit closes at 12:00 noon)

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* 4. Will you be staying at the conference hotel?
Embassy Suites by Hilton
513 South Florida Avenue, Tampa, FL 33602

Link to Embassy Suites

Please use the web link above or call and mention the 2019 EMS Summit to receive the discounted rate. Make your reservation early as space is limited.
The deadline for reservations at the discounted conference rate is June 10, 2019

Yes

Comment

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* 5. Registration includes the following meals:
Monday Dinner
Tuesday Continental breakfast and lunch
Wednesday Continental breakfast
Please identify any special needs or dietary restrictions:

Vegetarian

Vegan

Gluten-free

Dairy-free

No restrictions

Other (please specify)

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* 6. Will you join us for dinner Monday, July 15

Yes

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* 7. Tell us the previous Summits you have attended

2018 Arizona State University College of Nursing and Health Innovation

2017 EMS Headquarters, Drexel College of Nursing and Health Professions, Thomas Jefferson University

2016 University of Texas Health Science Center, San Antonio, TX

2015 Villanova University College of Nursing, Villanova, PA

2014 University of South Florida CAMLS, Tampa, Florida

2013 Mount Royal University, Calgary, Canada

2012 Texas Tech University Health Science Center in Lubbock, TX

2011 Villanova University College of Nursing, Villanova, PA

2010 Samuel Merritt University, Oakland, CA

2009 Drexel University College of Nursing & Health Professions, Philadelphia, PA

2008 University of Colorado School of Medicine, Aurora, CO

This is my first summit

Other (please specify)

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* 8. Tell us what you are most looking forward to at this year's Summit

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* 9. The Center for Advanced Medical Learning and Simulation at USF Health is a 3-block (about a 4 minute) walk from the Hotel. Please tell us if you require special accommodations

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* 1. Tell us about you! (Please complete a separate registration form for each individual attending)

Question Title

* 2. REGISTER FOR A PRE-SUMMIT WORKSHOP! Take advantage of one of these free courses Monday, July 159:00 am to noon

Question Title

* 3. Register for the Summit dates you will attend. (check all that apply!)

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* 5. Registration includes the following meals:Monday DinnerTuesday Continental breakfast and lunchWednesday Continental breakfastPlease identify any special needs or dietary restrictions:

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* 6. Will you join us for dinner Monday, July 15

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* 7. Tell us the previous Summits you have attended

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* 8. Tell us what you are most looking forward to at this year's Summit

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* 9. The Center for Advanced Medical Learning and Simulation at USF Health is a 3-block (about a 4 minute) walk from the Hotel. Please tell us if you require special accommodations

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* 10. We look forward to seeing you!Questions?Contact Laurie Kerns 610-701-7002 x 237 orDeirdre Chalmers 610-701-7002 x 272

* 2. REGISTER FOR A PRE-SUMMIT WORKSHOP!
Take advantage of one of these free courses
Monday, July 15
9:00 am to noon

* 5. Registration includes the following meals:
Monday Dinner
Tuesday Continental breakfast and lunch
Wednesday Continental breakfast
Please identify any special needs or dietary restrictions:

* 10. We look forward to seeing you!
Questions?
Contact Laurie Kerns 610-701-7002 x 237 or
Deirdre Chalmers 610-701-7002 x 272