Regional Meeting Sponsorship Proposal Form

General Information

  • This form must be completed in its entirety to be considered for a meeting sponsorship.
  • Submit your proposed budget and any brochures/schedules/marketing materials via email to emra@emra.org
  • A complete list of attendees (name, email, institution) will be provided to EMRA within 5 business days from the close of the meeting
  • This form must be submitted by one of the two semi-annual request-for-proposals (RFP) dates (December 15th and July 15th)

Author Information

Meeting Information

New or Annual Event?

-- Select an option --

If annual, please describe how the event has historically been organized & funded
If new, is it anticipated to be come annual? What are the sustainability plans?

Has EMRA Been Involved Before?

Yes

No

Please list confirmed or possible co-sponsors

Audience/Objectives

How many attendees do you expect?

Anticipated

(for new/recurring events)

Last Year's 

(for recurring events)

Attendees

Residents

Medical Students

Other (Mid-Levels, Nurses, etc.)

Total

Requests from EMRA

Do you want EMRA to forward planning materials for an EMRA Quiz Show at your meeting?

Yes

No

Note: These requests will be accommodated as schedules and budgets allow

EMRA Swag

Yes

No

Financial Support?

Minimus ($500 - $1000)

Maximus ($1001-$2500)

MegaMaximus ($2501 - $5000)

Payment Contact and Address Info

Visibility/Recognition of EMRA Sponsorship

Additional Offerings

Ad Space

Onsite Signage

Program

Website