CHI 2019 Telepresence Application
We will be providing the opportunity for people to remotely attend the CHI conference via telepresence technologies.  Our goal is to increase access to the conference for remote participants who would otherwise be unable to attend due to mobility impairments, chronic health issues, or temporary travel limitations.  If you are interested in remotely participating in CHI, please fill out the following application. If you are selected to participate, we will contact you with more details on how to register for the conference.
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Full Name *
Please enter your e-mail address: *
This is so that we are able to contact you if you are selected.
Affiliation/Organization: *
Where are you located?  (city and country name) *
What timezone are you in? (e.g., UTC-08:00) *
Primary Role/Position *
Why do you want to attend remotely?
Can you provide us with some more details of your situation?
(feel free to leave contact info if you would prefer to discuss this over the phone)
Time Slots
Next we need to know when you think you'll want to use a human proxy.  If your application is successful, we will allow you to sign up for specific time slots later.  For now, just give us a quick idea of your likely usage.  

(The following schedule is only an estimate of when each session will be held.  It will be updated when the final program is released.)
Please estimate when you would like to use a Beam.  
If you are accepted to a workshop, please tell us the workshop name and number.
You also need a broadband Internet connection that supports at least 5 Mbps upload and download. Do you have this speed? *
Is there anything else that you would like to tell us?
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