36181 East Lake Road, Suite 376 • Palm Harbor, FL 34685
2017 Southeast Region of the WOCN® Society Annual Conference
Choose to Shine...Change the World! WOC Nurses - Leading the Way!
September 28 – 30, 2017
Holiday Inn World’s Fair Park / Knoxville Convention Center
Knoxville TN
Application & Guidelines to Host a Symposium
Due to the success of previous years’ efforts, we are once again offering opportunities for our industry partners to host non-CE educational programs in conjunction with this annual program. We expect to attract WOC nurses seeking the latest in clinical and practice-oriented information. Companies hosting symposium programs must be registered exhibitors of the 2017 SER of the WOCN® Society Annual Conference. No conflicting events will be held during the symposiums.
Symposium Program - Non-CE Promotional Opportunities
· There are five (5) non-CE breakfast, lunch and dinner presentation time slots available for exhibitors wanting to host events for registered attendees of this conference.
· As a symposium host, it is up to you to determine the topic for presentation, the speaker, and the meal selection.
· The SER of the WOCN® Society will provide a private presentation room at the conference venue and help make your event a big success. However, our efforts are only a supplement to your own marketing plans to aggressively promote your symposium.
· The symposium host is responsible to provide a link for reservations to their event to be posted on our website.
· There is a non-refundable* application fee of $400 due, payable with the application to reserve a slot. If desired, we will provide an invoice with a payment link through our credit card processor, PayPal®.
(*Application fee is refunded if all slots are sold out)
· SER of the WOCN® Society will provide a basic AV package including Screen, Projector, Microphone, Remote and connections/cables. Any additional AV requirements are the responsibility of the hosting company.
Symposium Slots
There are two (2) breakfast symposium, two (2) luncheon symposium and one dinner time slots. The luncheon symposiums are scheduled on Thursday, Sep. 28th and Friday, Sep. 29th. The breakfast symposium time slots are scheduled on Friday, Sep. 29th and Saturday, Sep. 30th. The dinner symposium is scheduled on Friday, Sept. 29th.
Expenses
The applicant is responsible for all expenses related to hosting a symposium including, but not limited to food, beverage, additional audiovisual equipment, speaker honorarium, and/or speaker travel expenses, etc. If you choose to use a speaker who is also presenting during the conference, you will be responsible for their travel expenses, not the SER of the WOCN® Society.
Application Procedures & Time Slot Assignment
If you have an interest in reserving one of these time slots, please contact Bernie Haberer at (727) 238-5140 as soon as possible, as we expect that all time slots will be quickly filled. Requests are granted on first come/paid basis. If information is not yet fully available, complete as best you can. Completed forms are due no later than Friday, March 17, 2017.
Please fax all completed application forms to (727) 269-5760 or via e-mail to . Time slots will be confirmed after final decisions are made by SER of the WOCN® Society.
Application to Host a Symposium, September 28-30, 2017
There is a $400 non-refundable* application fee to host any one of the five (5) time slots shown below. SER of the WOCN® Society will provide a basic AV package. All other costs associated with speakers, food, beverage, marketing, and additional audiovisual equipment will be the responsibility of the applicant.
After your application has been accepted by the SER of the WOCN® Society, cancellations will not be allowed. If your company does not proceed with the program after it has been approved, your company will become liable for the anticipated average food and beverage expenses that would have been incurred.
1. Program Title: ______
2. Program Description (as it should appear in meeting materials, 50 words or less):
3. Presenter:
Name: ______Title: ______E-mail: ______
Organization: ______
Address:______City: ______State: ____ ZIP: ______
Telephone-Office: ______Cell: ______
4. Time Slots Preferred: (indicate your preference 1 - 5)
Choice Date Time Meal Limit # attendees?
______Thursday, Sep. 28 11:15 am – 12:15 pm Lunch ______
______Friday, Sep. 29 7 am – 8 am Breakfast ______
______Friday, Sep. 29 12:30 pm – 1:30 pm Lunch ______
______Friday, Sep. 29 7 pm – 8 pm Dinner ______
______Saturday, Sep. 30 7am – 8am Breakfast ______
5. Applicant Contact Information:
Name: ______Title: ______E-mail: ______
Company: ______
Address:______City: ______State: ____ ZIP: ______
Telephone-Office: ______Cell: ______
6. Proposed Program Coordinator (if different from the applicant contact name):
Name: ______Title: ______E-mail: ______
Company: ______
Address:______City: ______State: ____ ZIP: ______
Telephone-Office: ______Cell: ______
7. I agree that the information provided herein is correct; and I have read, understood, and agree to abide by the guidelines for hosting a non-CE symposium. This application must be signed by an authorized representative of the applicant; and he or she understands that, once submitted, this application is not cancellable or contingent upon any funding approval.
Approved by: ______
Signature Date
Name: ______Title: ______E-mail: ______
Please fax your completed application form(s) to (727) 269-5760, or e-mail to .
2017 Symposium Hosting Application