AGS17 Members and Attendees Interested in Tech Are You A Geriatrics Healthcare Professional Interested in Technology?The 3rd Annual Technology Innovations Pavilion will take place May 18-19 at #AGS17 in San Antonio, Texas to showcase technologies that can help Older Adults, Caregiver, and their Clinicians.If you are a geriatrics healthcare professional that is interested in mentor/phone advising, networking with companies, or other technology-related activities, please complete this brief survey to provide us your contact information and ideas. We will get in touch with you as plans evolve. All contact information will be kept strictly confidential to AGS staff. Your information will not be shared with companies or other third parties without your permission.Help Us Spread the WordIf you know of TECH COMPANIES who are interested in applying to the showcase, please encourage them to submit an application.Please also share with interested colleagues or friends by sending them the link to this sign-up: https://www.surveymonkey.com/r/Tech17Thank you for your interest! Question Title * 1. Please provide us your contact information: First and Last Names Email Address Question Title * 2. Profession (check all that applies) Physician Nurse, Nurse Practitioner, Physician Assistant Pharmacist Social Worker Educator/Researcher Other (please specify) Question Title * 3. Practice Setting (check all that applies) Hospital/Medical Center Academia Private Practice Nursing Home, SNF, etc House Calls Other (please specify) Question Title * 4. Are you currently involved in any health tech related activities, e.g. health IT research, make EMR templates, mentor startups, etc? Please describe: Question Title * 5. Are you a member of any health tech related organizations? If so, which ones? (for example: HIMSS, AMIA, AMDIS, ATA, local Health 2.0, etc?) Question Title * 6. I am interested in the following activities (select all that applies): Before #AGS17: Phone advise technology companies with your geriatrics expertise At #AGS17: meet the companies at the exhibit hall At #AGS17: meet the companies in smaller group, e.g. pitch session or focus group Help brainstorm or plHelp brainstorm or plan tech related programmingan tech related programming Participate in future Technology Sub-Committee or ad hoc Workgroup Other (please specify) Question Title * 7. Other Comments, Questions or Suggestions Question Title * 8. Twitter @handle (optional) Thank you for your interest! Submit