GCOS Site Selection Application Form THE INTERNATIONAL CARDIO-ONCOLOGY SOCIETY (ICOS) Cardio-Oncology GCOS Site Selection Application Form Contact Information: (Please provide TWO contacts) Contact Details:- 1 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Contact Details:- 2 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Hotel/Conference center: Does this venue have capacity for a minimum of 500 participants? YesNo Are there sufficient breakout rooms (reception areas, posters, breakout meetings, etc.)? YesNo Have you estimated the total cost for the conference (including but not limited to speaker travel and lodging, venue, AV, food, faculty dinner, IT and support personnel, printing, signage, misc) and do you have a plan/projected resources to finance and financial backup for shortfall? Do you or the venue have a dedicated support person(s) to handle details? Have you hosted large events in the past? What is the process of entry into the proposed country? Are visas required and/or easily obtained? Timeframe & other considerations: what year(s) are you applying to host? Application are due March 31 one year prior to desired of hosting; i.e. Applications for 2022 are due by March 31 2021. What date range during the year are you considering? (Typically we have held this conference the end of September or early October but local conditions; holidays, weather and travel rates should be considered) Who will provide local leadership for hosting this event? What support is there in your region from the cardio oncology or related communities? What other cardio oncology meetings, conferences or events have taken place in your region? Do you have any financial support already promised or relations with local industry for potential support? Please discuss any additional factors that you believe would make this a good location for this conference: Please leave this field empty.
