ISMRT Chapter/Division Meeting Proposal Form

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"*" indicates required fields

Proposed Meeting Details

Submitter's Details:

Submitter's Member ID Number*

0 of 6 max characters

Submitter's Name*

First Last

Submitter's Email*

Submitter's Institution*

Submitter's City & Country*

City

State/Province (leave blank if none)

Country

Details of Other Key Members of the Organizing Committee:

Other Organizers*

E.g., Program Chair, Co-Organizers, etc.
Click the (+) icon to add more rows.

First Name

Last Name

Member ID # (if known/applicable)

Institution

City

State/Province (if applicable)

Country

Proposed Date Range:

1st Date Choice - Start*

YYYY slash MM slash DD

1st Date Choice - End*

YYYY slash MM slash DD

2nd Date Choice - Start*

YYYY slash MM slash DD

2nd Date Choice - End*

YYYY slash MM slash DD

Time

Please input the start time in UTC time zone

Is the proposed meeting for a National Chapter or Division?*

National Chapter

Division

For which Division or National Chapter is this meeting proposed?*

Is the proposed meeting being organized in collaboration with another Institute, Society, or MR Education group?*

Yes

Please provide contact details for the organization or group:*

Contact's First Name

Contact's Last Name

Member ID # (if known/applicable)

Institution

Country

Proposed meeting type:*

In-Person Only

Virtual Only

Hybrid (both in-person and virtual)

Proposed Location*

Venue

City

State/Province (if applicable)

Country

Total number of education hours to be included in your proposed meeting:*

Proposed meeting title:*

Do you plan to produce a white paper with regard to the subject of this event?*

Yes

ISMRT Meeting Packages

Below are the package options, please select one. Full details of packages can be found here:

ISMRT Meeting Packages

Basic Meeting Package - FREE

Basic Plus Meeting Package - US$200

Marketing Option Packages

Please select one of the packages below, for full details of which package includes, please review the prospectus.

Level 1 - FREE

Level 2 - US$100 (Requires approval 30 days prior to event)

Level 3 - US$300 (Requires approval 90 days prior to event)

Additional Central Office Services (additional charges apply)

Standard Event Evaluation on the Central Office platform – US$50

Certificates of attendance sent from the Central Office – US$50

Certificates of ARRT CE – US$50

• Organization of CE with ARRT is to be done by organizer, not Central Office. Refer to the Request for Approval Page in order to see the requirements for accreditation.

Virtual/Hybrid Meeting Hosting – US$200

• Hosted via Central Office’s Zoom account
• Central Office communication with speakers and attendees
• Includes a 20-minute pre-event training session

Physical Badge Printing – Price on application

• Costs based on location, includes ISMRM/ISMRT lanyards

Proposed Meeting Budget

Please complete the budget details in the following Excel template for your proposed meeting:

To ensure no delay in approval, please provide estimate of all costs e.g. catering, venue hire, sponsorship, projected registration numbers etc, to ensure your meeting will be cost neutral.

Download Preliminary Budget Template Here

Upload Preliminary Budget File*

Preliminary budget will be available to update as meeting plans progress, and after meeting is completed through the ISMRT Central Office

Accepted file types: xls, xlsx, Max. file size: 24 MB.

Preliminary Program Details

Upload Preliminary Program File*

Preliminary program will be available to update as meeting plans progress

Accepted file types: xls, xlsx, Max. file size: 24 MB.

Proposed Speaker and Moderator Details

Please complete the following speaker and moderator details for your proposed meeting.

If you selected Marketing Package Level 2 or 3 we will need complete speaker and topics within 60 days of the event.

Speaker(s)*

Click the (+) icon to add additional rows.

First Name

Last Name

Institution

Title

Member ID (if applicable)

Moderator(s)*

Click the (+) icon to add additional rows.

First Name

Last Name

Institution

Primary Email

Member ID (if applicable)

Primary Meeting Contact*

Please provide an email address for all meeting inquiries and/or registration information.