EDUtech CIO Summit Asia 2023 - Application Form

Application Form

Please fill in the following details
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
• A personalised agenda for the two days including a meeting and networking schedule.

Email*
example@example.com
Salutation*
Name*

First NameLast Name
Jobtitle*
Company / Institution*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodePhone Number
Mobile Number*

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

Pre-schoolK-12 school - Private/IndependentK-12 school - CatholicK-12 school - State/GovernmentK-12 school - InternationalUniversity - State/GovernmentUniversity - Private/IndependentBusiness School/CollegeVocational Institute/TAFEEnrichment/Tutoring/Training Centre/RTOSpecial Needs SchoolMinistry/Government AgencyStudentIndustry Body/AssociationPressEducation Technology ProviderNon-Tech Education Product/Solution ProviderDistributor/ResellerConsultant/Implementation Partner/Support ServicesInvestorOther
2. Is your company a start-up (pre-series A funding, incorporated in last 2 years)*

NoYes
3. I'd like to receive more details on*

Speaking at the eventExhibiting at the eventSponsorship opportunities at the eventWebinars and other marketing opportunitiesOur global series of EDUtech eventsNone of these
4. My job function is*

ConsultantEducation leadManaging Director/founder/CEORegional/Area DirectorSales/Business DevelopmentCMO/MarketingInvestor/AnalystOther
2 - My educational Institution teaches*

Pre-school childrenPrimary aged childrenSecondary/High school aged ChildrenTeacher training institutionFurther Education and live long learningK-12We do not teach
3 - My job function is*

AdministrationAdmissions/Marketing/student servicesConsultantCTO/CIO/Director of ITEdtech coachFacilities/building ManagerFinance/Accounts/BursarGovernment officialHead of Curriculum/AcademicsHead of Education/learning and teachingHead of Year/Department/SubjectHRIT supportLibrarianOperationsPressProcurementSenior leadership teamSpecial needs/learning supportTeacher/lecturerStudentOther
4 - I'd love to solve*

Getting remote learning more engagingImproving student assessmentParent and student communicationSkilling our teachers to thrive in digital educationAdaptable learning spacesGetting more girls involved with STEMSecuring our kids and our school onlinePersonalised learningMoving our school into the cloudThe digital divideWellbeing for our kids and staffOther
5 My role in purchasing decisions is*

I am the decision makerI influence purchasesI am a userI have no responsibility
6 The number of employees at my organisation is*

0-1010-100100-250250-500500+
We provide these products and services
I'm interested to learn more about these products and services
Please select all relevant categories*

1. Teaching Aids2. ICT3. School and Campus Management4. Special Education & Inclusion5. Learning Spaces6. Security7. Sports and The Arts8. Wellbeing9. Professional Development10. Library Solutions11. Data, Analytics and Assessment12. Digital Curriculum13. Consultancy and support services
1. Teaching Aids (Please select all relevant items)*

AR/VRAssessment & TestingAudio Visual EquipmentContent and publishingDesign softwareGames and toysGamificationInteractive displaysLearning Analytics & Big DataLearning Apps and online learning toolsLearning Management Systems/Lesson planningMakers' MovementPersonalised learning solutionsRecording and broadcasting equipmentTeaching equipment e.g. woodwork equipmentVideo Conferencing
2. ICT (Please select all relevant items)*

3-D printingBroadband/Telcoms/WifiCloud servicesComputer peripheralsCyber SecurityDevicesNetwork InfrastructurePrintersRobotics
3. School and Campus Management (Please select all relevant items)*

Accounting/Payroll/HR softwareCleaning servicesEcommerce/payment solutionsFinancial services/insurance/employee benefitsLunch ordering systemsPhotographyRecords ManagementStationary/schools bags/uniformStudent Acquisition solutionsStudent Management SystemsWeb design/marketing and advertising services
4. Special Education & Inclusion (Please select all relevant items)*

Assisted MobilityAssistive & Inclusive LearningSpecialised teaching aids
5. Learning Spaces (Please select all relevant items)*

Aircon, ventilation, air circulation, fans, purificationConstruction/Interior design/architectureFacilities ManagementFurniture & FittingsHallsLightingLockers & StorageOutdoorSmart Buildings/Solar Panels/Green BuildingsStaging
6. Security (Please select all relevant items)*

Access Control/ID/Biometric solutionsCCTVFencingPA and microphonesPost-Covid monitoring, access, sign-in, temperaturechecking, etcWarning Systems
7. Sports and The Arts (Please select all relevant items)*

Sport equipmentMusic EquipmentArt equipmentCamps/Excursions/Incursions
8. Wellbeing*

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

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

Access ControlSelf-service terminalsSmart Cards & RFID
11. Data, Analytics and Assessment Solutions (Please select all relevant items)*

Anti-plagiarism softwareArtificial IntelligenceData analytics and visualisationData StorageDigital certificates/blockchain/NFTs
12. Digital Curriculum (Please select all relevant items)*

CodingDronesIoTRobotics
13. Consultancy and support services (Please select all relevant items)*

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

YesNo
What’s your technology budget?*

< US$100,000US$100,000 - US$500,000US$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)*

	Who are your current technology providers/vendors, please list your top 5 existing partners? (please fill in all rows)*
1
2
3
4
5

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

YesNo
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Application Form

We provide these products and services

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