Sponsor/Exhibit at QSEN Forum

The QSEN Forum this year will highlight Academic-Practice Partnerships and solutions to improve quality and safety education and practice. The event will showcase the very best of educational and practice strategies and research that are based on the QSEN competencies.

Join more than 450 attendees from around the world who strive to make patient care better through the implementation of the QSEN competencies and how partnerships in practice and academia accelerate this work. This event aims to emphasize the connection of QSEN competencies to patient and community health outcomes, provide practical solutions that can be implemented within the classroom and workplace, foster innovation, and connect healthcare leaders, educators, and practitioners around the world.

QSEN Sponsorship, Exhibitor, and Presenter Commitment

QSEN Sponsorship and Exhibitor Commitment

Organization

Contact

Address

Address 2

City

State

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Phone

Package Options

Expert and Vendor Track Sessions - $3,500

School of Nursing Partners - $3,000

Attendee Bag Sponsor & Insert - $2,500

Attendee Bag Insert - $1,500

Exhibitor (registration and meals included) - $1,700

Nonprofit Exhibitor (registration and meals included) - $1,200

Historic Friend of QSEN (registration and meals included) - $850

Donate to the Christa Koffel Inspiring New Leaders QSEN Forum Scholarship

Donation Amount

Philanthropic Partner - Your generous donations directly support the mission of the QSEN Institute:

Donation Amount

Exhibitor Information

Name of Person Staffing Exhibit Booth

Additional Booth Staff Personnel ($200 each additional person for exhibit badge and meals only, up to 3)

Additional Person 1

Additional Person 2

Additional Person 3

Company Name (as it will appear in the syllabus)

Product Display will include:

Number of 110 volt electrical outlets needed

Special Considerations

Total

Does your company/organization produce, market, sell, re-sell, or distribute healthcare products used by or on patients?

Yes

If so, which products?

I agree to the Accredited Continuing Education Standards for Integrity and Independence.

Accredited Continuing Education Standards

Per the Accredited Continuing Education Standards for Integrity and Independence:

Control of Content & Selection of Presenters & Moderators. The Approved Provider is responsible for control of content and selection of presenters, moderators, and anyone in a position to control the content of the activity. The decision of the Approved Provider will be final. The Approved Provider is not required to seek or accept advice or services from the Ineligible Company.
Acknowledgment of Commercial Support: The Approved Provider will acknowledge commercial support, either direct or “in-kind,” from the Ineligible Company in program announcements, syllabi, or other activity materials to ensure compliance with the Standards.
Exhibits and Ancillary Promotional Activities: Promotional and educational activities will be separate. Exhibits will be permitted in space authorized by the Approved Provider for that purpose. Marketing, exhibits, and nonaccredited education developed by or with influence from an ineligible company or with planners or faculty with unmitigated financial relationships must not occur in the educational space within 30 minutes before or after an approved education activity. Activities that are part of the event but are not accredited for continuing education must be clearly labeled and communicated as such.

Submitting this form indicates willingness to abide by the standards as outlined above.