Skip to content

2026 ASCRS Video Mentorship Series - Video Submission Form

Author and Video Qualifications Page


Please review the Video Submission Guidelines prior to completing the online form.

Please complete ALL questions marked with an asterisk (*) so that your submission will show as "completed." Questions 1 - 5 have the asterisk and MUST be filled out.

Questions 6 - 8 are not marked with the asterisk, but we ask that you still complete those questions. We especially ask that you fill out questions 7 & 8 as they deal with the actual steps for submitting your video.

If you have a question about this or any part of the submission process, please email Jason Sandlin at jsandlin@fascrs.org.

1.Are you a member of ASCRS?(Required.)
2.Video Consent Confirmation: Authors must confirm that consent for video recording was obtained. If consent was not obtained, video is ineligible.(Required.)
3.Author Acknowledgement of Use: If my submission is selected, I understand by submitting my video here I am granting ASCRS and its permitted successors and assigns, and those acting with ASCRS's authority and permission, the unrestricted right and permission to use the final Video Mentorship webinar recording (which may include my video) and any dirivative works thereof for online education purposes.(Required.)