Friends, 
 
We are currently seeking submissions for lectures, workshops, keynotes and full day/multiple day courses for the North Country EMS Spring Fling Conference, which will be held at the Edgewood Resort and Conference Center in Alexandria Bay, NY.

We are looking for submissions for the following:
  • April 26th and 27th: full day, half day and evening pre-conference programs/courses/workshops.
  • April 28th: Full-day ALS track and BLS track with 60 to 90 minute lectures.
  • April 29th: one 60 to 90-minute lecture
All topics and formats related to clinical, operations, leadership and education will be considered. The deadline for submission is COB on November 24th, 2017. All those who submit will be notified of acceptance or rejection via email or telephone no later than COB on December 15, 2017.

Submissions will be accepted by completing this survey OR via email to asmith@fdrhpo.org. Email submissions of multiple offerings may be sent in any format, as long as it contains the requested information.

We take pride in giving our presenters a great experience. We pay honorariums, provide travel/lodging and all presenters are welcome at conference events, meals, etc. Please be sure to include honorarium expectations.

If you have any questions, please contact: Ann Smith, FDRHPO North Country EMS Program Agency Director at asmith@fdrhpo.org.

* 1. Lead Presenter Name:

* 2. Presenter Title:

* 3. Presenter Organization:
Note: Name, credentials, title, and organizational affiliation as listed above will be published on our website and conference brochures. Indicate above how you prefer them listed. Combined they will appear, for example, as: 
Ann Smith, NY CIC
Director
FDRHPO North Country EMS Program Agency

* 4. Paragraph Bio for Presenter:

* 5. Street Address:

* 6. City:

* 7. State:

* 8. Zip Code:

* 9. Email Address:

* 10. Phone Number:

* 11. Phone Number Type:

* 12. Presentation Title:

* 13. Presentation Summary:

* 14. Presentation Outline:

* 15. Expected Honorarium Cost:
The North Country EMS Program Agency will provide lodging and meals. Please estimate and explain any other expenses you may have as one of our speakers.

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