EDUtech CIO Summit Asia 2023 - Application Form

Application Form

Please fill in the following details for offline registration
To apply for a hosted pass please complete this form in full. To qualify for a hosted pass you must

• Work for a Higher Education institution based in Asia

• Be a CIO or deeply involved in technology specification, platform selection or implementation

• Have an identified problem you’d like help solving

If your application is successful you’ll get:

• A complimentary full access delegate pass

• Two nights' accommodation (for those travelling in)

• Reimbursement of return economy class flight ticket (terms to be shared)

• A personalised agenda for the two days including a meeting and networking schedule.

Email *
example@example.com
Saluation *
Name *

First Name Last Name
Job title *
Company / Institution *
Your Company Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile Number *

Area Code Phone Number
I work for (please select the industry that best represents your organisations main line of business) *

University - State/Government University - Private/Independent Business School/College Vocational Institute/TAFE Ministry/Government Agency Enrichment/Tutoring/Training Centre/RTO Special Needs School Pre-school K-12 school - Private/Independent K-12 school - Catholic K-12 school - State/Government K-12 school - International Student Industry Body/Association Press Education Technology Provider Non-Tech Education Product/Solution Provider Distributor/Reseller Consultant/Implementation Partner/Support Services Investor Other
My job function is *

Administration Admissions/Marketing/student services Consultant CTO/CIO/Director of IT Edtech coach Facilities/building Manager Finance/Accounts/Bursar Government official Head of Curriculum/Academics Head of Education/learning and teaching Head of Year/Department/Subject HR IT support Librarian Operations Press Procurement Senior leadership team Special needs/learning support Teacher/lecturer Student Other
My role in purchasing decisions is *

I am the decision maker I influence purchases I am a user I have no responsibility
The number of employees at my organisation is *

0-10 10-100 100-250 250-500 500+
I'm interested to learn more about these products and services
Please select all relevant categories *

1. Teaching Aids 2. ICT 3. School and Campus Management 4. Special Education & Inclusion 5. Learning Spaces 6. Security 7. Sports and The Arts 8. Wellbeing 9. Professional Development 10. Library Solutions 11. Data, Analytics and Assessment 12. Digital Curriculum 13. Consultancy and support services
1. Teaching Aids (Please select all relevant items) *

AR/VR Assesmsent & Testing Audio Visual Equipment Content and publishing Design software Games and toys Gamification Interactive displays Learning Analytics & Big Data Learning Apps and online learning tools Learning Management Systems/Lesson planning Makers' Movement Personalised learning solutions Recording and broadcasting equipment Teaching equipment e.g. woodwork equipment Video Conferencing
2. ICT (Please select all relevant items) *

3-D printing Broadband/Telcoms/Wifi Cloud services Computer peripherals Cyber Security Devices Network Infrastructure Printers Robotics
3. School and Campus Management (Please select all relevant items) *

Accounting/Payroll/HR software Cleaning services Ecommerce/payment solutions Financial services/insurance/employee benefits Lunch ordering systems Photography Records Management Stationary/schools bags/uniform Student Acquisition solutions Student Management Systems Web design/marketing and advertising services
4. Special Education & Inclusion (Please select all relevant items) *

Assisted Mobility Assistive & Inclusive Learning Specialised teaching aids
5. Learning Spaces (Please select all relevant items) *

Aircon, ventilation, air circulation, fans, purification Construction/Interior design/architecture Facilities Management Furniture & Fittings Halls Lighting Lockers & Storage Outdoor Smart Buildings/Solar Panels/Green Buildings Staging
6. Security (Please select all relevant items) *

Access Control/ID/Biometric solutions CCTV Fencing PA and microphones Post-Covid monitoring, access, sign-in, temperaturechecking, etc Warning Systems
7. Sports and The Arts (Please select all relevant items) *

Sport equipment Music Equipment Art equipment Camps/Excursions/Incursions
8. Wellbeing *

Workplace Health, Safety & Wellbeing solutions
9. Profesional Development *

Profesional Development Solutions and services
10. Library Solutions (Please select all relevant items) *

Access Control Self-service terminals Smart Cards & RFID
11. Data, Analytics and Assessment Solutions (Please select all relevant items) *

Anti-plagerism software Artificial Intelligence Data analyitics and visualisation Data Storage Digital certificates/blockchain/NFTs
12. Digital Curriculum (Please select all relevant items) *

Coding Drones IoT Robotics
13. Consultancy and support services (Please select all relevant items) *

Computer Support Consultant Implementation partner
Do you have a distinct technology project you are currently working on or planning for the next 12 months *

Yes No
If yes, please give details *
What’s your technology budget? *

< US$100,000 US$100,000 - US$500,000 US$500,000 - US$1,000,000 > US$1,000,000

Who are your current technology providers/vendors, please list your top 5 existing partners? (please fill in all rows) *

	Name of current technology providers/vendors
1
2
3
4
5

I'd like to subscribe to EDUtech_talks so that I can watch all the content on demand *

Yes No
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By continuing with the registration you are confirming that you have read, understand and accept our terms and conditions and privacy policy *
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I confirm that I have read, understand and accept the terms and conditions (https://www.terrapinn.com/terms-and-conditions) and privacy policy (https://www.terrapinn.com/privacy)
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Application Form

I'm interested to learn more about these products and services