Thank you for agreeing to share your expertise at the 2019 Annual Meeting, to be held June 23 - 27 in Charlotte, NC.

The Annual Meeting is a partnership between you, the American Society for Clinical Laboratory Science (ASCLS), the Association of Genetic Technologists (AGT), and the Annual Meeting Steering Committee to provide continuing education and networking opportunities for lab administrators, directors, supervisors, staff, educators, students and others in the field of clinical laboratory science.  We are eager to publicize your participation in the Annual Meeting program. We appreciate both your cooperation in providing necessary information and your compliance with all program deadlines.  Please review the following information, and submit your response no later than January 4, 2019.  By submitting this form, you confirm your understanding and acceptance of the terms of your participation as stated in this agreement. If you have any questions, please email speakers@ascls.org or call Pam Magnani at 703-679-2016. 

This agreement confirms that the presenter will:

  • Plan and present the Annual Meeting session described in your presenter invitation email.  Presenter online agreement must be received by January 4, 2019.  If it is not received by this date, you may be required to forfeit this presenting invitation.
  • Submit all handout materials electronically by May 20, 2019.
  • Submit one PowerPoint presentation electronically by May 20, 2019.

Permissions and Copyright

  • Presenter warrants to ASCLS that he/she has secured any copyright permission for any materials not owned by the presenter, not otherwise covered by "fair use" and which are included in the Presenter’s presentation and handouts. Beyond “fair use,” copyrighted materials must not be included in presentations or handouts without license from copyright holders. Presenter agrees to indemnify and hold ASCLS & AGT harmless against any claims relating to copyright infringement.
  • Presenter agrees to provide ASCLS with an unlimited, non-exclusive license to record, store, and distribute content delivered by presenters as part of this Presenter Agreement.

ASCLS will provide the following:

  • Distribution of handout materials as stipulated in the Presenter Guidelines and Information.
  • Uploading of presentation to AV equipment prior to Presenter's session (if submitted by May 20, 2019)

PRESENTER GUIDELINES

  • AUDIO VISUAL EQUIPMENT:  
    • Meeting rooms will be equipped with an LCD projector, a screen, cables and laptop. Please notify Pam Magnani at speakers@ascls.org by May 20, 2019 if you require any equipment other than the items indicated above.  It will not be possible to make equipment changes on site. We will do our best to accommodate your needs.
  • ROOM SET-UP: 
    • Most sessions will be set classroom style (tables and chairs) with the possible exception of the keynote sessions which may be set theater style (chairs only) and other sessions for which previous formats have been arranged. Alternate room setup requests will be considered.  Please contact Pam Magnani at speakers@ascls.org to discuss.
  • REGISTRATION:  
    • Presenters who have accepted our presenting invitation and are interested in attending Annual Meeting may do so at a discounted rate. Online registration will be available by March 2019.  A discount registration code will be provided for you to register online.
  • HONORARIA:  
    • Presenters will receive honoraria as stipulated in individual presenter invitations.
  • LODGING:  
    • Presenters are responsible for making their own lodging arrangements at the Sheraton Charlotte Hotel or Le Mèridien Charlotte.  Reservation information will be sent with registration details.
  • HANDOUTS:  
    • The Annual Meeting provides a pre-meeting handout website, where your electronic handout will be posted.  This enables participants to preview all sessions and pre-print their own handouts. Submit handouts via the Annual Meeting Presenter website (http://www.ascls.org/annual-meeting-speaker-presentation-materials) by May 20, 2019.
  • POWERPOINT PRESENTATION:  
    • In order to ensure audio and visual success, we require that one PowerPoint presentation be submitted via the Annual Meeting Presenter Website (http://www.ascls.org/annual-meeting-speaker-presentation-materials) by May 20, 2019.  The slides should be uploaded as a .ppt or .pptx file.  Please do not submit slides in PDF format.  Should you update your PowerPoint presentation after May 20, 2019, you are responsible for bringing the updated version on a USB thumb drive.

ASCLS RESERVES THE RIGHT TO CANCEL THIS AGREEMENT IF PRESENTER FAILS TO SUBMIT THE AGREEMENT AND OTHER APPROPRIATE COURSE INFORMATION BY THE SPECIFIED DATE.

The foregoing is in accordance with my understanding of our agreement.  Amendments or changes to this agreement must be made in writing and must be signed by all parties.  

 

  1. Presenter Information

  2. Note: You must complete all REQUIRED fields and hit the SUBMIT button (at the bottom of this page) in order for your information to be captured. Upon successful submission, you will receive a confirmation email.
  3. Presenter First Name(*)
  4. Presenter Last Name(*)
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  5. Presenter Credentials(*)
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    Limit to highest advanced degree earned and one certification of your choice. Board of Certification (BOC) credentials must be consistent with BOC guidelines - www.ascp.org/boc.
  6. Professional Affiliation(*)
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    List your professional affiliation as you would like it to appear in the program (Note: only one institution or company name will be listed in the program.) Please only list your institution; do not include your title.
  7. Mailing Address(*)
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    Please provide a mailing address for official speaker correspondence.
  8. Presenter Email Address(*)
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  9. Presenter Mobile Phone(*)
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  10. Please upload a professional headshot.
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    This image will be uploaded to our event app and associated with your speaker profile. Some images will be used on our website to highlight sessions.
  11. Presenter Introduction(*)
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    Provide pertinent information (experience, research, publications or presentations) that relates to this session/topic. This background information will be used to introduce you at the beginning of your presentation. Please limit biographical information to 50 words or less.
  12. Presentation Title(*)
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    Limit to 50 characters. Please exclude all special characters, such as !, ?, &, $.
  13. Presentation Description(*)
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    Be as specific as possible. Presentation description must be limited to 50 words or less. This description will appear in the program brochure and promotional materials.
  14. Learning Objectives

    Provide 3 different learning objectives for your presentation by completing this sentence: “At the conclusion of my presentation, participants will be able to….” Learning objectives must be measurable, so please begin with words like “Identify”, “classify”, “summarize”, etc. Please refrain from beginning objectives with the verbs "understand," "learn" or "know."
  15. Learning Objective 1(*)
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  16. Learning Objective 2(*)
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  17. Learning Objective 3(*)
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  18. Disclosure of Conflicts

    The possibility for bias or a conflict of interest occurs when the financial interests of a speaker/author potentially preclude an unbiased, scientific presentation of a subject. The disclosure of possible conflict of interest is requested not to censor or exclude speakers, but to inform the audience so they may decide for themselves whether or not a presentation is biased. Information from this declaration will be disclosed to participants as follows: “Dr. Smith has research support from ABC Technology, Inc.” but will not be used to exclude speakers from an activity. ASCLS requires all speakers in accredited Continuing Education Activities to disclose any possible bias or conflict of interest regarding the topic that is being presented.

    A conflict of interest is defined as any financial interest of the speaker in a company's products or services discussed in the presentation. For example, if the speaker (1) directly holds stock in the company (not including mutual funds), (2) is paid salary or consultant fees by the company, (3) has grant support from the company, and/or (4) has received support for travel expenses, honoraria, etc., from the company, a conflict of interest exists regarding this topic and must be reported. If the speaker has a financial interest in a company but is not discussing a product or service of that company, no conflict of interest must be disclosed. Please select the appropriate statement below as it relates to the topic of your presentation within the preceding 12 months :

  19. (*)

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  20. Describe Stock (if any)
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  21. Describe Salary/Consultant Fees (if any)
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  22. Describe Grant/Research Support (if any)
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  23. Describe Honorariums/Expenses (if any)
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  24. Presenter Agreement

  25. By submitting this form, you are agreeing that you understand and accept the terms of your participation as stated in this agreement, financial disclosure and the Presenter Guidelines & Information.