Thank You For Your Interest in Presenting at a Future TEMSEA Event. Please complete the Form Below to submit your presentation proposal. TEMSEA Call for PresentationTEMSEA values public education and ensuring we have valid, evidence based presentations at our events. Please use this form if you would like to speak at an upcoming TEMSEA event.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Presenter InformationName *FirstLastEmail *Phone *Job Title *Company or Organization's Name *CV Upload * Drag & Drop Files, Choose Files to Upload Please upload an updated CV in .pdf format.Presenter Headshot * Drag & Drop Files, Choose Files to Upload Please upload a headshot photo that TEMSEA can use in event publications and marketing.NextPresentation InformationWhich TEMSEA event are you submitting this proposal for? *--- Select Choice ---2026 West TN EMS Instructor Update (5/29/2026)2026 TEMSEA Conference (7/29/2026-7/31/2026)EMS Instructor CourseEMR Instructor CourseTEMSEA Elearn Course2027 TEMSEA Conference (Dates TBD)None of the above are applicablePlease enter the event you are submitting for that was not listed in the previous question.Presentation Title *Short Description of Presentation *Session Type *--- Select Choice ---PresentationPanelSkills BreakoutOtherPlease specify the session typeAudience Level *EMREMTAEMTParamedicCritical Care ParamedicEMS EducatorPlease select the level(s) of provider that will benefit from attending this educational activity.Do you have any special audio/visual needs to deliver your presentation?Yes (Please explain)NoTEMSEA provides a standard AV suite using projector/screen, Apple's Mac Laptop with sound output, Presentation Remote, and speakers.Anticipated AV NeedsPlease enter any additional AV needs beyond those listed in our standard AV suite outlay above.Objectives and References *For each hour of proposed education, please list (3) objectives AND (3) references for each objective listed. Learning objectives must clearly state what the participant should be able to do at the end of the session. Performance terms are easily measurable and include action verbs such as: describe, explain, perform, state, demonstrate, perform, apply, and list. Avoid vague terms that are difficult to measure, such as: know, appreciate, learn, understand, and be familiar. Students must understand what you will ask them to do to demonstrate what they have learned. Proposals lacking this info will be automatically dismissed.Next (other other of Conflict of Interest DisclosurePresenters are required to disclose conflicts of interest when applying to speak at a TEMSEA event. If approved to speak with conflicts, the presenter must notify the audience of conflicts at, or near, the beginning of the presentation.1. Please disclose any financial relationship one has with organizations (other than TEMSEA) and include a brief description of the nature and purpose of the organization(s). *Enter “None” for each request If no disclosures2. Please disclose your position of employment, including the nature of the employer’s business, the position held, and a description of daily employment responsibilities. *3. Please disclose any outside relationships held with any person or entity from which the TEMSEA obtains substantial amounts of goods and services or which provides services that substantially compete with TEMSEA where the relationship involves holding a position of responsibility; a significant financial interest (other than owning less than a 1% interest in a publicly traded company); or the receipt of any unusual gifts or favors. *Enter “None” for each request If no disclosures4. Please disclose any fiscal interests or positions of responsibility in entities providing goods or services supporting EMS practice other than owning less than a 1% interest in a publicly traded company. *Enter “None” for each request If no disclosures5. Please disclose any other interest that may create a conflict of interest or the appearance of a conflict of interest with CAPCE or TEMSEA as the CE provider. *Enter “None” for each request If no disclosuresI attest that this application, in addition to the conflict of interest disclosures, are true and correct. Furthermore, I agree to have a copy of my presentation in Apple Keynote OR Microsoft Office PowerPoint file type to TEMSEA's CAPCE Coordinator (capce@temsea.com) by no later than 30 days prior to the event date in which I am accepted to present. * Clear Signature Submit Your Proposal
