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NASEC 2015 - Non-USNA Faculty Registration Form
U.S. Naval Academy
Annapolis, Maryland

Naval Academy Science and Engineering Conference (NASEC)
Sunday, 8 November through Wednesday, 10 November 2015

Please complete and click on the SUBMIT button at the end of this form.

Registration will close at 1600 on Friday, 30 October 2015

Please send an e-mail message to Prof. Malek-Madani (rmm@usna.edu)  --  to ask about late registrations  -- prior to completing the registration form.

*Asterisks indicate required fields.

Disclaimer: Information is for conference use only and will not be released.
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Personal Information
Last Name *
First Name *
Preferred Name on Badge *
College/University *
Your USPS Mailing Address *
Phone Number *
Email *
Re-enter Email *
Lodging and Meal Information
Lodging and meals will be provided by the conference host.
See NASEC Web site for specifics.  

http://www.usna.edu/AcResearch/nasec/NASEC2015.html 

Students will be housed in double occupancy rooms in the conference local hotel . A continental breakfast will be provided at the hotel on Monday and Tuesday mornings.
I will need lodging for the nights of: *
We will be housing students in double occupancy rooms.  Thus, you may be assigned a room with a student from another institution. Please provide information to help us make the room assignments.
Required
Gender
Clear selection
Please indicate any special needs for food or housing purposes.
Special food needs MUST be pre-arranged with the caterer. Only those who indicate their needs on this form will be accommodated at meals and breaks.  
Conference Information (Sunday, 8 November  -  Tuesday, 10 November)
The expectation is that participants will attend all three days of the conference.  Requests for attendance on fewer days will be accommodated as space allows.
I will attend the conference on *
Required
Poster Session *
Please consult the NASEC Web site (http://www.usna.edu/AcResearch/nasec/NASEC2014.html) for brief descriptions of the sessions, and then indicate your preference for session attendance throughout NASEC 2014. The conference has three concurrent sessions: (1) Human-Robot Interaction, (2) Robotic Cooperation, Remote Sensing, and Telepresence, and (3) Automation and Intelligent Systems
1st Choice
2nd Choice
3rd Choice
Human-Robot Interaction and Social Robotics
Robotic Cooperation, Remote Sensing, and Telepresence
Automation and Intelligent Systems
Are you interested in serving as a mentor at any of the sessions? (See Website for description of mentor role.) *
  Emergency Contact Information
Last Name *
First Name *
Relationship
Day Phone *
Evening Phone *
Email
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