Registration Form for GENI Workshop & Camp Registration Form for GENI Workshop & Camp Please fill out this form if you would like to attend both the workshop on May 23 and the camp on May 24-27. Camp attendees are expected to also attend the workshop. Please confirm that you would like to attend both workshop & camp*If you would like to register for the workshop only, please use other form. Yes Name* First Last Email* Affiliation* Job title* Faculty Student Research Staff If student, please list your degree program, research interest and expected year of graduation.* Dietary restrictions* None Kosher Vegetarian Vegan Will you need a parking pass?* Yes No GENI experience* Never used GENI Used it a few times Familiar with GENI Used GENI extensively I am interested in the following topics (check all that apply)* Programming the Network (SDN, NFV, etc.) Cloud computing Wireless experiments using GENI GENI tools for instrumenting and measuring experiments Use of GENI in education None of the above Are you applying for a travel grant?* Yes No Travel Grant Application*Please explain briefly your reasons for wanting to participate in the regional workshop and camp, and how they will benefit your research/teaching. If student, faculty advisor's name*If you are a student applying for a travel grant, please have your advisor send a letter to geni-events@googlegroups.com with the subject "TRAVEL GRANT APPLICATION" by the travel grant application deadline. The letter should confirm the expected benefits to the applicant and plans for using GENI. Have you received a GENI travel grant in the past?* Yes No Lodging*Please indicate whether you will be staying at the BU dormitory (arranged and paid for you to cover all 5 nights from Sunday May 22 to Thursday May 26), or you will make your own arrangement. If you will make your own arrangement for lodging and apply for a travel grant, you will be reimbursed for up to $350. BU dormitory I will make my own lodging arrangement Gender*All suites at the BU dormitory will be maximized based on gender. Male Female Airfare cost estimate ($)*Round-trip airfare from the candidate's home airport to the event area airport.Ground transportation cost estimate ($)*Meals cost estimate ($)*Note that breakfast and lunch will be provided at the workshop and camp, in addition to a dinner reception on Tuesday, May 24.Mailing address for reimbursement checks*Please make sure to keep all receipts for reimbursement. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please add any other comments or requests here Share this:ShareShare on FacebookClick to share on LinkedInClick to email this to a friendClick to share on Twitter