Special Exception: SAEM Annual Meeting Registration Request Form

Registrant Request Form Purpose/Guidelines:

The SAEM Annual Meeting is generally run by volunteer members who speak, present, and teach. As is common across all medical societies, there is a registration fee for attendees to ensure a professionally produced meeting. While unique, from time-to-time, a potential speaker, who does not qualify for SAEM membership, may add significant value to the unique learning experience of our membership when added to a didactic session or meeting. The SAEM Executive Committee will consider requests for a one-day annual meeting registration pass for these special exceptions.

Examples of approved individuals from past meetings include: patients, K-12 teachers, local community leaders, and formerly incarcerated individuals. Requests that are typically not approved are executive professionals who are generally able to pay to participate in the SAEM annual meeting, such as: lawyers, finance experts, and other college/university level faculty.To request a complimentary one-day SAEM annual meeting registration as a special exception, please complete the below form.

  • The requested registrant(s) must have the expertise and/or play a role in a meeting or educational session that is vital to its success.
  • The requested registrant(s) must not qualify for any SAEM membership category.
  • Each event is limited to up to 3 complimentary registrants.
  • Travel and hotel are not supported by SAEM.
  • Complimentary one-day registration is not automatic upon completion of this form. All submitted requests will be provided to the SAEM Executive Committee for review and final decision. You will receive a response within 15 business days from submission.
If you have any questions, please contact governance@saem.org.


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REQUESTOR INFORMATION
Please enter your contact information below. 
Name: *
Email: *
Preferred Phone:  *
Institution:  *
EVENT INFORMATION
Please describe the meeting/educational session that would benefit from this speaker(s) attendance. 
Meeting/Educational Session Name: *
State any other known logistics for this event (date/time/location/etc.). 
Name any SAEM academy/committee/interest group involved in this request. 
REGISTRANT(S) INFORMATION 
Please provide details for the speaker(s) being requested to receive special exception complimentary registration. 
How many complimentary registrations are you requesting? 
Provide all known details for the potential registrant(s) -  including name(s) and email(s).  *
State the purpose and rationale for the speaker(s) attendance.   *
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