Request an Invitation to a 2017 Summit

We are in the process of planning the SchoolCIO Summits for 2017. These intimate, invitation-only events are geared to district- and state-level education leaders with a strong interest in technology's role in schools. Please use this form to indicate your interest in attending one of these Summits. Space is extremely limited and we can not guarantee you a spot but we promise to let you know as soon as possible whether you have been accepted.

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* 1. Please fill out your contact information:

First Name

Last Name

Job Title

District/Organization

City

State

Preferred Email

Alternate Email (if available)

Phone

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* 2. If you have an assistant you would like us to cc on future correspondence, please fill out this information:

Name of assistant:

Email address:

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* 3. Please indicate which of the following 2017 summits you would be interested in attending:

October 6-7, Nashville, TN (w a focus on Digital Equity)

December 7-8, Phoenix, AZ (w a focus on the Marriage Between IT and Curriculum)

Comments: If you checked more than 1 above, feel free to indicate a preference here.

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* 4. How did you learn about these events?

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* 5. Have you attended a previous SchoolCIO Summit?

Yes

If yes, please indicate which one(s)

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* 6. Membership in SchoolCIO is required for attendance at a SchoolCIO Summit (which, other than that, is free to those who are invited). Please indicate which of the following applies to you:

As far as I know I have paid the annual fee to join SchoolCIO and am a current member, receiving the monthly SchoolCIO Report and other benefits.

I am in the process of subscribing or arranging for payment/renewal of my membership.

I am not yet a member but understand that, if I am invited to a summit, I will be expected to pay the $295 membership fee when I register for the event (after which, other costs -- including flights, food and lodging -- will be covered by SchoolCIO)

Comment

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* 7. Please describe, briefly, the technology-supported initiatives/approaches that you are most excited about sharing with other district leaders at this event.

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* 8. Please comment on any topics that you think are MUST-includes in the 2017 summits.

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* 9. Please indicate which of the following computers/devices are being used primarily in your district for instruction:

Windows desktops

Mac desktops

Open source machines

Windows laptops

Mac laptops

iPads

Windows tablets or 2-in-1s

Chromebooks

BYO devices of all sorts

Other (please specify)

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* 10. Please indicate the number of students served by your district

Fewer than 5,000

Between 5,000 and 10,000

Between 10,000 and 25,000

Between 25,000 and 50,000

Between 50,000 and 75,000

More than 75,000

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* 11. Are you interested in inviting another member of your team (superintendent, associate sup't, CIO/CTO, etc.)?

Yes

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* 12. If so, please indicate:

Name of potential guest:

Job Title:

Email:

Phone:

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* 13. This person:

has definitely said that he/she would like to participate

has not yet indicated whether he/she would like to participate

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* 14. If you'd be interested in serving on the planning team for a 2017 summit (helping to recruit amazing attendees and speakers, moderate sessions, etc.) please elaborate on the role you'd like to play.

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* 15. Do you have a close working relationship with a company that would make a good Summit sponsor? If so, please explain.

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* 16. Please indicate any additional people (from a district other than your own) you would recommend as speakers or participants in the SchoolCIO summit.

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* 1. Please fill out your contact information:

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* 2. If you have an assistant you would like us to cc on future correspondence, please fill out this information:

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* 3. Please indicate which of the following 2017 summits you would be interested in attending:

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* 4. How did you learn about these events?

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* 5. Have you attended a previous SchoolCIO Summit?

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* 6. Membership in SchoolCIO is required for attendance at a SchoolCIO Summit (which, other than that, is free to those who are invited). Please indicate which of the following applies to you:

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* 7. Please describe, briefly, the technology-supported initiatives/approaches that you are most excited about sharing with other district leaders at this event.

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* 8. Please comment on any topics that you think are MUST-includes in the 2017 summits.

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* 9. Please indicate which of the following computers/devices are being used primarily in your district for instruction:

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* 10. Please indicate the number of students served by your district

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* 11. Are you interested in inviting another member of your team (superintendent, associate sup't, CIO/CTO, etc.)?

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* 12. If so, please indicate:

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* 13. This person:

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* 14. If you'd be interested in serving on the planning team for a 2017 summit (helping to recruit amazing attendees and speakers, moderate sessions, etc.) please elaborate on the role you'd like to play.

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* 15. Do you have a close working relationship with a company that would make a good Summit sponsor? If so, please explain.

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* 16. Please indicate any additional people (from a district other than your own) you would recommend as speakers or participants in the SchoolCIO summit.

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* 17. Additional Comments: