RCNET Workshop: Adapting to the Changing Nature of Work Name* First Last Please select your affiliation type below*ATE Project or CenterCollege or UniversityIndustryA small number of stipends may be available for ATE or Academic partners on a first come basis. If available, will you requesting a stipend?YesNoName of College or Affiliation*Title*Mobile Phone Number*Please provide your Mobile Phone Number in case we need to contact you while you are traveling.Email* Please select which fields you would be interested in for the collaborative group sessions*You may select multiple fields. We will work to group you with other experts in your field(s). Advanced Manufacturing Technologies Agricultural & Bio Technologies Energy & Environmental Technologies Engineering Technologies Information Technologies Learning, Evaluation & Research Micro & Nano Technologies Security Technologies No Preference Will you be attending the River Cruise Dinner on Wednesday, Sept. 20th?*The River Cruise Dinner is provided for guests of the workshop by RCNET as a networking opportunity for attendees. There is no fee for the cruise or dinner but space is limited to the capacity of the boat and reservations must be made in advance. Please contact RCNET directly if you have any questions regarding the cruise.YesNoDo you have any dietary restrictions?* NONE Food Allergies Gluten Free Vegetarian Glucose Intolerant Other Please contact RCNET if you have questions regarding the meals hosted at the workshop.So that we can best accommodate your needs, please list any special requests here.PhoneThis field is for validation purposes and should be left unchanged.