Presenter Contract

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					                      Georgia Addiction Counselors Association


                                     PRESENTER CONTRACT

                                    Fall Training & Education Conference
                                             November 2 - 6, 2008
                                               Toccoa, Georgia


Return Presenter Form and ALL requested items to GACA by: Friday, August 1, 2008

I.       PRESENTERS
PRIMARY PRESENTER:                  (Print name and credentials as it will appear in conference materials)

Name _______________________________________________________________________________

Credentials___________________________________________________________________________

Organization _________________________________________________________________________

Contact Person, if different:_____________________________________________________________

Address _____________________________________________________________________________

City _______________________________________ State _______________________ Zip _________

Phone ______________________________________ Cell_____________________________________

Email ______________________________________ Fax ____________________________________

SECONDARY PRESENTER (Maximum 2 presenters per course, please. Note that standard fee will be
shared unless otherwise agreed upon by each presenter) (Print name and credentials as it will appear in conference
materials)


Name _______________________________________________________________________________

Credentials___________________________________________________________________________

Organization _________________________________________________________________________

Address _____________________________________________________________________________

City _______________________________________ State _______________________ Zip _________

Phone ______________________________________ Cell_____________________________________

Email ______________________________________ Fax ____________________________________
COURSE INFORMATION (Please complete a separate form for each presentation)

A.     Course Title: ______________________________________________________________
       Classification:   □ General Counseling      □ Prevention □ Ethics
                         □ Cultural Diversity             □ HIV/AIDS or other STD’s
       Other (please specify): _________________________________________________________________

B.     Course Length:     □   1-½ hours   □   3 hours   □   4-6 hours   □   12 hours (2-Part)
                 □ Other ______________________________________________________________________
       I am willing to repeat this course at an additional date/time at the conference if needed. □ Yes □ No

C      Course Description: Attach a 50–100 word summary as it will appear in the conference
       registration/program. If you have done a GACA conference within the past year and have no changes to
       your information and would like us to use previous information please check here -□

D.     Will you have handouts for participants?              □ Yes – I will email to GACA by Oct 24, 2008
              □ Yes – I will make my own copies              □ No – I will not have handouts for registrants
       Deadline for handouts/materials to be reproduced by GACA staff for inclusion in the conference materials
       is October 24, 2008. After this date, reproduction of handouts is the responsibility of the presenter. No
       reimbursement to be paid. Do not bring handouts to the conference to make copies on site.

E.     Equipment/Audiovisual Note: Select audiovisual equipment to be preset in your training room.
                Laptops are not available. LCD Projectors are an additional cost to GACA and available on a
       limited basis.   Please reserve only items you MUST have for your presentation. Additions will not be
       made on site.
       □ Dry Erase/Grease/White Board □ Flipchart/Markers □ TV/VCR □ Overhead Projector
       □ I will provide my own LCD Projector/Laptop □ I will need an LCD Projector
                                                                 (You MUST provide your own laptop)

F.     Room Set-up: All training rooms are set classroom style with a head table for audiovisual and
       presentation materials.

II.    PERSONAL INFORMATION

A.     Presenter Bio AND Resume: Provide a presenter Bio of no more than 100 words for the conference
       program. GACA reserves the right to edit biographies for brevity. You MUST also provide
       resume/curriculum vitae. This is required for seeking continuing education credits from other
       associations such as NASW and LPCA. If you have done a GACA conference within the past year and
       have no changes to your information and would like us to use previous information please check here -□

B.     Lodging/Meals: If needed, one night lodging at the conference center will be provided either the night
       prior to scheduled presentation or immediately following presentation. One additional night lodging the
       night prior or after presentation is dependent on presentation scheduling and must be pre-approved by the
       Training & Education Committee of GACA. Additional lodging and meals not approved by the Training &
       Education Committee or Executive Director, and/or lodging nights booked but not used will be the
       responsibility of the trainer. Nights charged to GACA due to early departure will be deducted from fee.




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         Lodging:          □ I will need lodging for _________ nights checking-in on ________. I understand that
                           if the amount is outside of what GACA pays for it will be at my expense
                           □ I will not need lodging.

By submitting this form you are making a commitment, upon acceptance, to present this workshop
at the GACA conference. Questions? Call GACA at 770-434-1000 or email gaca@gaca.org.

Please submit this contract by Friday, August 1, 2008 via mail, fax or email to: GACA at 4015 South Cobb
Drive, Suite 160, Smyrna, GA 30080 fax at 770-434-3144 or email at gaca@gaca.org. We must also receive the
following items to complete this contract:

               □ Course Description (50 – 100 words)
               □ Bio (No more than 100 words) - for Program
               □ Resume/Curriculum Vitae - for Continuing Education Applications
STANDARD FEE SCHEDULE PAYABLE BY GACA FOR PRESENTATIONS
The Georgia Addiction Counselors Association is a non-profit 501(c)(6) association of addiction professionals.
To provide quality cost-effective training but contain expenditures, the Board of Directors has established the
following fee scale and reimbursement rates:

         $75.00 per training hour taught (Typical courses: 3-6 training hours, Evening Sessions)
         $150.00 minimum (Lunch & Learns; Plenary Sessions)

The Board of Directors of the Association has set a maximum reimbursable rate of .33 per mile auto expense and
those expenses applicable to carrying out this training agreement. No air travel for out-of-state consultants will be
reimbursed except by prior arrangement of the Training & Education Committee and Executive Board of GACA (IF
TRAVELING BY AIR PLEASE FORWARD ITENARY.INCLUDING GROUND TRANSPORTATION TO THE
CONFERENCE CENTER, TO GACA ASAP. THE CLOSEST MAJOR AIRPORT TO TOCCOA, GEORGIA IS
ATLANTA HARTSFIELD JACKSON AIRPORT - APPROX. 2 HOURS). No other expenses will be reimbursed
without prior approval of the Executive Director. Payment in excess of the above must be pre-approved in writing
by the Training & Education Committee.

Payment of Consultant Fee and reimbursement of actual expenses, up to the maximum allowable by Association
Bylaws and/or Board of Directors policy, will be paid within 30 days of receipt of a Reimbursement Expense form
with all applicable supporting original receipts. Expenses submitted more than 30 days after close of training session
are not payable.

Cancellation

This agreement between the Consultant and the Association will be declared null and void if registration numbers do
not meet minimum requirements and the training session is canceled by the Training & Education Committee.
Consultant will be notified of actual number of registrants for each course a minimum of one week prior to the first
training. The consultant will be notified of cancellation of a course a minimum of one week prior to the scheduled
training session. At that time, no payment of consultant fee or expense reimbursement will be forthcoming from the
Association except as approved by the Training & Education Committee and Executive Director.



Consultant Signature                                                              Date
                                                      Make Check Payable As Listed Below
____________________________________                  ____________________________________________
SS # or EIN #




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