Thank you for your interest in our Harvard Smart City Innovation Accelerator: Smart Districts.

Please fill out the information below to apply. All fields marked * are required.  Information will be used directly for event program and logistics updates, so please do fill our all the required boxes!

Registration Day

* 1. What day are you registering for?

USER DETAILS

* 2. First Name

* 3. Last Name

* 4. Biography

Please enter 50-150 word bio of yourself. This will appear verbatim in the program.

* 5. Email - This will be used to contact you for updates of the event.

* 6. Title

* 7. Organization

* 8. Street

* 9. City

* 10. State

* 11. Zip Code

* 12. Country

* 13. Phone

* 14. Dietary restrictions or allergies

ADMIN DETAILS
We will be happy to work directly with your admin on logistics and even updates if you provide their information. 

* 15. Admin's Name

* 16. Admin's Title

* 17. Admin's Email

* 18. Admin's Phone

LINKS
These will be used on the dissemination website as resources for other attendees and the general public.

* 19. Link 1

Please enter a link to your website or other online collateral.

* 20. Link 2

Please enter a link to your website or other online collateral.

* 21. YouTube/Vimeo Link 1

Please enter a link to any videos you would like to share with other participants.

* 22. YouTube/Vimeo Link 2

Please enter a link to any videos you would like to share with other participants.

IMAGES

* 23. Headshot for Biography

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.
Choose File
No file chosen

* 24. Logo Image

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen
MEDIA CONTACT INFORMATION
As our events engage senior leaders, we are sometimes contacted by press who are interested in contacting attendees for their perspective and thoughts on the event topic. We keep your contact information confidential and do not share it with the media; however, if you would like to be contacted, you may opt-in by typing YES in this box. Leaving it blank or typing NO will let us know not to share your information.

* 25. Share Contact?

Thank you for completing the application. Please click the DONE button below. We will review your application and let you know our decision soon.

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