2025 Clinician Contract/Agreement Form

MMEA Administration

87th MMEA In-Service Workshop/Conference

January 28-February 1, 2025

General Information

2025 CLINICIAN CONTRACT/AGREEMENT FORM

Submitted by the MMEA Board Member that is responsible for the clinic/session.

Includes uploading the appropriate Independent Contractor Agreement. (Completed -NO signatures)
*Complete the following form for each 2025 conference clinic/session.

DEADLINE: September 15

MMEA Area*
Select the MMEA Area for which the contract/agreement is being submitted.
Contract/Agreement Category*
Select the category for which the contract/agreement is being submitted.
Name: Person Submitting Forms*
First Last
Name: Independent Contractor*
First Last
Contractor Email*
Enter “NONE” of no email
Upload File/s Here
Drop files here or

Max. file size: 456 MB, Max. files: 5.
NOTE: Contracts/Agreements are considered “Pending” until the document reflects all required electronic signatures. The MMEA Executive Director will finalize the agreement and confirm the binding agreement (via email) to all relevant parties.
Name
This field is for validation purposes and should be left unchanged.

January 27-February 1, 2025

Days