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About
The People Behind UCA
Affiliates
Strategic Initiatives
Antibiotic Stewardship
Diversity, Equity & Inclusion
Advocacy
Get Involved
Urgent Care Data
Membership
Membership Benefits
Chapters
Directories
Join Us
Quality
Accreditation
Certification
Commendation
Logo Release Form
Resources
Learning Center
Trending Topics
Clinical Education
College of Urgent Care Medicine
HIPPO Education
Limited Scope X-Ray
CME Information
Advocacy
Advocacy Support
Urgent Care PAC
Partners
Corporate Membership
Sponsorship Opportunities
Reach our Audience
UCAccess Newsletter
Solutions.Webinar
Solutions.Delivered
Website Ads
Solutions.On-Demand
Solutions.Social
Urgent Caring Advertising
Events
Upcoming Events
The Urgent Care Convention
2023 Western Regional Urgent Care Conference
2023 NERUCA Conference
2023 Urgent Care Post Convention Webinar - Speaker Agreement
This agreement outlines the terms and conditions between Urgent Care Association (UCA) and the Speaker.
Please enable JavaScript in your browser to complete this form.
Speaker agrees to:
attend and provide presentation(s) for this event. In the event Speaker is unable to attend, Speaker will provide a replacement or work with UCA to find one.
use templates provided by UCA (if applicable) for all presentation materials.
to acknowledge and source all photos, graphics, or other images used in presentation materials appropriately.
to reference all data appropriately.
to not willfully infringe on copyrights or plagiarize any content.
to finalize all presentation materials two weeks prior to the event.
to be prepared to deliver content and interact with attendees with knowledge and expertise.
Honoraria Terms
All honoraria payments will be processed via ACH (electronic funds transfer) within 30 days after the completion of the event.
Payment is dependent upon the receipt of a
completed W-9 and a Direct Deposit Authorization form
. In the event the forms are not received within 30 days after the completion of the event, payment will be donated to the College of Urgent Care Medicine (CUCM).
Choose your honoraria option
*
$100.
Donate the honoraria to the College of Urgent Care Medicine.
Waive the honoraria and donate my time.
Name
*
First
Last
Email
*
Agreement
*
I agree and understant that by submitting this form I agree to the terms and conditions of this agreement.
I agree and understand that by submitting this form I am legally bound to this agreement.
Submit
2023 Urgent Care Post Convention Webinar - Choose a Webinar Date
Please enable JavaScript in your browser to complete this form.
Post Convention Webinar
Choose an available date to deliver your webinar.
We will send you a Zoom panelist invitation (check your spam folder if you do not receive).
If the date of your choice(s) is not available, we will contact you.
Name
*
First
Last
Email
*
First Choice
*
Wednesday, July 19 - 1:00 PM ET
Tuesday, August 8 - 1:00 PM ET
Wednesday, August 16 - 1:00 PM ET
Tuesday, August 22 - 1:00 PM ET
Tuesday, August 29 - 1:00 PM ET
Wednesday, August 30 - 1:00 PM ET
Tuesday, September 12 - 1:00 PM ET
Wednesday, September 13 - 1:00 PM ET
Second Choice
*
Wednesday, July 19 - 1:00 PM ET
Tuesday, August 8 - 1:00 PM ET
Wednesday, August 16 - 1:00 PM ET
Tuesday, August 22 - 1:00 PM ET
Tuesday, August 29 - 1:00 PM ET
Wednesday, August 30 - 1:00 PM ET
Tuesday, September 12 - 1:00 PM ET
Wednesday, September 13 - 1:00 PM ET
Submit