CHI 2017 Telepresence Application
We will be providing the opportunity for a small number of 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 2017, 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.
The registration fee for telepresence attendance will be the same as the normal in-person registration fee. Are you okay paying this amount?
Full Name *
Your answer
Please enter your e-mail address: *
This is so that we are able to contact you if you are selected.
Your answer
Affiliation/Organization: *
Your answer
Where are you located? (city and country name) *
Your answer
What timezone are you in? (e.g., UTC-08:00) *
Your answer
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)
Your answer
What days would you like to attend CHI remotely?
(only choose Saturday/Sunday if you have already been accepted to a workshop or the DC)
What would you like to participate in at CHI? *
If you are accepted to a workshop, please tell us the workshop name and number.
Your answer
If you want to present a paper, please tell us its title and the session (if known).
Your answer
In order to use the telepresence robots, you need the following specs in your computer or laptop. Do you have all of them? *
Microsoft Windows 7 or higher or Macintosh OSX 10.7 or higher; an Intel i3 2Ghz or higher processor; at least 2 GB of RAM; DirectX 9 compatible graphics card on Windows or an OpenGL 2.0 compatible graphics card for Mac. You should also have a webcam or integrated laptop camera and an external microphone (headsets with speaker/microphone preferred).
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?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms