Iaslc workshop guidelines

Deadlines for Applications:

 

December 1, 2011

March 1, 2012

June 1, 2012

August 1, 2012

 

   

Download a printable version of the Sponsorship Application (pdf)

 

Download a printable version of the Sponsorship Application (Word document)

 

 

Application Form for IASLC Sponsorship for Educational Events (text version below)

 

EVENT:

 

Date:                                                  

Location:

Organizing Groups:

Local Organizing Committee (Please include the IASLC LIaison for this committee.  This individual must be an IASLC member.):

  

Contact Information

 

Name:

Address:

Phone:                                                 

Fax:                                                                                                      

E-mail:

 

1. What will be the form of the Educational Event:

a)      Workshop

b)      Conference

c)      Symposium

d)      Other (specify): ___________________

 

2.  What do you request from IASLC (Please mark):

a)   Endorsement only (IASLC logo, announcement on web-site and in Newsletter).  (Please fill in Section I only.)

b)   Endorsement plus financial support. (Please fill in both Section I and Section II.)

  

SECTION I

(If additional space is needed, please use and attach additional pages.)

 

1. Does your educational event have a prior history? 

 

___Yes, this is a regularly occurring event.

___No, this is a one-time event.

___No, this is the inaugural event for what will be a regularly occurring meeting.

 

 

2. List are the goals and objectives of your educational event. 

 

 

3. How many participants are expected?  

 

___Less than 100

___100-300

___301-500

___501-1,000

___More than 1,000 

  

4. Who is the target audience:

 

___Medical oncologists

___Surgical oncologists or thoracic surgeons

___Radiation oncologists

___Pulmonologists

___Nurses, pharmacists, and similar health-care related specialists

___Other 

 

   

 

5.  List the IASLC members who will serve on the organizing committee.

 

 

 

6.  Will there be invited speakers from the IASLC? 

 

___Yes:  If Yes, list those speakers: ________________________________________________________

___No

 

  

7. Provide the name of the local organizing committee member who will guarantee that IASLC is properly recognized and promoted at the meeting.  (This liaison is ideally an IASLC member and will be responsible that a final meeting report be submitted to the IASLC office within 6 weeks after the end of the meeting.)

 

NAME OF IASLC LIAISON: _______________________________________________

 

8. How will the IASLC be recognized at the meeting?

 

___Flyers to be included withthe conference materials and/or tote bag.

___Slides to be prjected at the start and end of each session.

___IASLC logo will be prominently placed near the entrance of the meeting.

___Advertisements for the meeting will prominently display IASLC logo.

___Prominent IASLC placement in event website and e-mails.

___Other (please specify): _________________________________________________________________

 

9. IASLC Members will be offered a discounted registration fee (of at least 20% off the published rate.)

 

___Yes

___No

 

10. Indicate the funding source(s) of the educational event (indicate all that apply):

 

___Pharmaceutical companies: Please specify: ________________________________________________

___Unrestricted educational grants: Please specify: ________________________________________________

___Plilanthropic contribution: Please specify: ________________________________________________

___Government or state funding: Please specify: ________________________________________________

___Other: Please specify: ________________________________________________

 

11. Provide an overview of the budget breakdown for the planned educational event:

 

 

12: Are there other sponsoring organizations?

 

___Yes, these other organizations are: ________________________________________________________________

___No

 

    

13. Will there be abstracts or educational articles from the event?

 

___Yes

___No

 

14.  Do you plan to have a supplement for the Journal of Thoracic Oncology (JTO)? Do you want to have the abstracts published in the JTO? 

 

___Yes

___No 

 

 

15. Confirm that post-meeting evaluations and reports will be submitted to the IASLC within 2 months of completion of the educational event.

 

___Yes, this confirms the above statement.