Tribal Broadband Bootcamp Attendee Form

Meeting Dates: August 7-11, 2022 (Please refer to the agenda for specific date and time to arrange your travel)


Location: University of Oregon

Ford Alumni Center

1720 E. 13th Avenue

Eugene, OR 97403


Housing: Your housing accommodation will be made for you based on the information filled out below.

Kalapuya Ilihi Residential Housing - includes single room, linens, towels, on-campus meal card.


Travel: Closest airport is Eugene Airport (EUG).


Note: Standard economy round-trip flights will be reimbursed. If your flight is more than $500 please reach out to missy@connecthumanity.com before booking your flight.


Please complete this form no later than Wednesday, July 6, 2022.


COVID: We continue to monitor the situation and will follow University of Oregon and the State of Oregon guidelines and protocol for COVID. As we get closer to the meeting, we will keep you updated on these procedures.

 

Contact Information Section

 
 
 
 
 
 
 

Please include a one sentence bio for a notebook we will be creating.

 
 
 

Onsite

 

Are you staying on campus at the group dorm housing that will be provided? Note - Should you wish to stay at a different hotel, you will be responsible for your own hotel accommodations/booking as well as your own transportation to and from the meeting venues.

 
 

(ex: Gluten Free and no Italian food)

 
 

Scoping Question Section

As we plan the sessions and focus each day, we want to get a better understanding of your background and interests. Please fill out the following questions.

 

Experience working with networking technology

 

Experience with the business side of the broadband

 

Experience with broadband advocacy and/or digital equity work

 

Will you be directly responsible for solving technical problems that may arise in your network?

 

What are your main goals with respect to this training?

 
 

Is your Tribe running (or planning to run) a wireless network?

 

Is your Tribe running (or planning to run) a wired network?

 

What networking equipment manufacturers/brands are you using or planning to use? Check all that apply:

 
 
 
 
 
 

Release Forms / Vaccination Card

 

I wish to participate in the Travel Broadband Bootcamp that will be held at University of Oregon located at 1585 E.13th Ave, Eugene, OR 97403. I accept full responsibility for my own health and safety during my participation. I agree that my participation is fully voluntary, and that I will not hold either the Travel Broadband Bootcamp Organizers, Institute for Local Self-Reliance, University of Oregon or Connect Humanity, or any of its employees, whether salaried or under contract, responsible for any harm that may result from my participation in this program.

 

I hereby grant to the Institute for Local Self-Reliance and Connect Humanity permission to use and publish the photograph(s), audio recording(s) and/or video recording(s) (the “Photographs”) referred to below, in which I am included, without any restriction as to the nature of the use or publication. I understand that I do not own the copyright of the Photographs, and I waive the right to approve of any finished product. I understand that the Photographs may be released into the public domain or published online. I certify that I am over 18 years of age and that I have the full legal right to execute this agreement.

 
 

Other Information Section

 

If this is your first bootcamp and wish to receive a hard hat, please select your response below.

 

Please indicate your t-shirt below.