Call for Training-Black Hat USA 2014 Question Title * 1. Name (first and last): Question Title * 2. Email Address: Question Title * 3. Phone Number: Question Title * 4. Twitter Handle (if none, write n/a): Question Title * 5. Course Title:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 6. Presented by (name or company name):-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 7. Name on Contract (payment made to--must match W-8Ben or W-9): Question Title * 8. Requested Payment (per student amount): Question Title * 9. Length of Course: 2 Days 4 Days Question Title * 10. Class Max (# of students): Question Title * 11. Absolute Class Max (# of students if your class reaches max): Question Title * 12. What Category/ies Does Your Course Fall Under? AppSec Crypto Defense Forensics Hardware Human ICS Malware Mobile Network Pentesting Risk Wireless Other (please specify) Question Title * 13. SHORT Course Abstract (2-4 sentences):-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 14. FULL Course Abstract:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 15. Who Should Take This Course:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 16. Student Requirements:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 17. What Students Should Bring:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 18. What Students Will Be Provided With:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 19. Trainer Names & Bios:-LISTED ON BLACK HAT EVENT WEBSITE Question Title * 20. Course Materials: Instructor will provide ALL course materials. Instructor will permit Black Hat to distribute electronic course materials (CDs, DVDs). Instructor will permit Black Hat to print course materials (workbooks). Additional comments Question Title * 21. Do You Have Materials and/or Equipment That Must be Shipped to the Venue? Yes, I need to ship materials and/or equipment to the venue. Yes, but I can transport materials and/or equipment myself (carry on) to the venue. No, I do not need to ship materials and/or equipment to the venue. Additional comments Question Title * 22. What Kind of Equipment Do You Need in Your Classroom (BH to provide)? 0 1 2 # of Screens # of Screens 0 # of Screens 1 # of Screens 2 # of Microphones # of Microphones 0 # of Microphones 1 # of Microphones 2 Other (please specify) Question Title * 23. What Kind of Internet Do You Need in Your Classroom (BH to provide)? Wired internet drop only Wired network with external internet access (be prepared to explain why it must be wired) Wired network without external internet access Wireless network for class only Additional comments Question Title * 24. Do You Have a Specific Classroom Set-Up? No (standard classroom set-up is fine) Yes (please specify room set-up) Question Title * 25. Are you interested in teaching THIS EXACT course at Black Hat Europe 2014?-Trainings run October 14-15, 2014-2 day courses only Yes, I'm interested in training at Black Hat Europe 2014. No, I'm not interested/unable to train at Black Hat Europe 2014. No, I'm unable to train at Black Hat Europe 2014 because my course is 4 days. Done