CalSTA Technology Leadership Summit | Event Registration Form

Join your fellow IT leaders across CalSTA departments for an in-person event

Friday, August 18, 2023

9 am - 4 pm

Wells Fargo Building

400 Capitol Mall, 6th Floor

Sacramento, CA

Question Title

* 1. Contact Information

First Name

Last Name

Job Title/Role

Email Address

Phone Number

Question Title

* 2. Department

Board of Pilot Commissioners (BOPC)

California Highway Patrol (CHP)

California State Transportation Agency (CalSTA)

California Transportation Commission (CTC)

Department of Transportation (Caltrans)

Department of Motor Vehicles (DMV)

High-Speed Rail Authority (HSR)

Office of Traffic Safety (OTS)

New Motor Vehicle Board (NMVB)

Other (please specify)

Question Title

* 3. Lunch Options - Lunch boxes will be provided at the event and include sandwich, salad, and cookie. Please select your choice from the options below (if you would rather only have a salad, please select that option):

Turkey Avocado

Salami and Provolone

Tuna

Grilled Chicken

Soto Ciabatta (ham, mortadella, salami, and provolone)

Vegetarian (red pepper spread with cucumbers, avocado, arugula, and provolone)

Caprese (cheese, basil, tomato, and balsamic)

Manzo (roast beef and provolone)

Cesar Salad

Chicken Cesar Salad

Organic Greens Salad

Chef Salad (with turkey, ham, hard-boiled egg)

Question Title

* 4. Dietary Restrictions - Do you follow any of the these dietary restrictions? (Please select all that apply.)

Vegan

Vegetarian

Religious Dietary Restrictions (e.g., Kosher, Halal)

Food Allergy (e.g. gluten free, peanut free)

I do not follow any of these dietary restrictions

Prefer not to answer

Other (please specify)

Question Title

* 5. Photos - Professional headshot photos may be available at the event at no cost to you. Would you like to have your professional headshot photo taken?

Yes

Question Title

* 6. Please select a timeslot for your professional headshot photo:

8:30 AM - 9 AM (before event)

12 PM - 1 PM (during lunch)

3:30 PM - 4:30 PM (after event)

CalSTA Technology Leadership Summit | Event Registration Form

Join your fellow IT leaders across CalSTA departments for an in-person event

Question Title

* 1. Contact Information

Question Title

* 2. Department

Question Title

* 3. Lunch Options - Lunch boxes will be provided at the event and include sandwich, salad, and cookie. Please select your choice from the options below (if you would rather only have a salad, please select that option):

Question Title

* 4. Dietary Restrictions - Do you follow any of the these dietary restrictions? (Please select all that apply.)

Question Title

* 5. Photos - Professional headshot photos may be available at the event at no cost to you. Would you like to have your professional headshot photo taken?

Question Title

* 6. Please select a timeslot for your professional headshot photo:

Question Title

* 7. Any Additional Questions/Comments: