2024 Annual Program Review Registration

Please complete this form to register for the 2024 DOE NNSA SSGF & LRGF Annual Program Review and related activities. Once submitted, you will receive an automated e-mail confirmation. Please contact us if you have any questions.

Personal Information
How would you like your FIRST name to appear on your badge?
Which pronouns should we include on your badge?
Valid e-mail address (confirmation will be sent to this address).
Emergency Contact
Who should we call in case of an emergency?
Supplementary Information
If you selected 'Other', please explain.
Planned Attendance

I will attend the following:

Tuesday, June 11
Wednesday, June 12
Dietary Accommodations

Let us know how we can assist you. Please be as specific as possible.

Meal Preferences Do you prefer any of the following meal types? (Optional)
I have an allergy/allergies. (Select all that apply.)
Presentation Information

Please complete this section ONLY if you are a presenter.

Krell recommends that you make use of the provided equipment since the presentations will be recorded, but if you have special requirements for your presentation and need to use your own, please indicate this below and provide more details in the comments section.

Which presentation software will you need?

Does your presentation have audio?

Does your presentation have a movie? (Please provide the format and resolution of your movie in the comment box below.)

The Krell Institute will make audio and video of your presentation available on the Internet following the event, but only with your express permission. Can your presentation be released?

Are there special items needed for your presentation?
Additional Comments
CSGFDOE Office of ScienceNNSAKrell Institute