{"id":21335,"date":"2023-09-19T09:22:15","date_gmt":"2023-09-19T13:22:15","guid":{"rendered":"https:\/\/cutheme.local\/coris\/?page_id=21335"},"modified":"2026-03-18T09:31:42","modified_gmt":"2026-03-18T13:31:42","slug":"realise-cybersecurity-registration-form","status":"publish","type":"page","link":"https:\/\/research.carleton.ca\/coris\/realise-cybersecurity-registration-form\/","title":{"rendered":"REALISE.cybersecurity Registration Form"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        REALISE.cybersecurity Registration Form\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>October 23, 2023                                                                                                                                     Timeline:\r\n10:15 a.m. to 5:30 p.m. (Carleton researchers only)\r\n12:30 to 5:30 p.m. (Carleton researchers, Industry and Government representatives)      \r\nPlease note this event is invitation only.\u00a0\r\n<\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_60'  action='\/coris\/wp-json\/wp\/v2\/pages\/21335' data-formid='60' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_60' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_60_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_1'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_60_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_2'>Pronouns<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_60_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_12\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_12'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_60_12' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_60_4\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_60_4'><div class='gchoice gchoice_60_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Researcher from Carleton University\u00a0'  id='choice_60_4_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_4_1' id='label_60_4_1' class='gform-field-label gform-field-label--type-inline'>Researcher from Carleton University\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Graduate Student from Carleton University\u00a0'  id='choice_60_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_4_2' id='label_60_4_2' class='gform-field-label gform-field-label--type-inline'>Graduate Student from Carleton University\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='An\u00a0Industry\u00a0Representative\u00a0'  id='choice_60_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_4_3' id='label_60_4_3' class='gform-field-label gform-field-label--type-inline'>An\u00a0Industry\u00a0Representative\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='A\u00a0Government\u00a0Representative\u00a0'  id='choice_60_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_4_4' id='label_60_4_4' class='gform-field-label gform-field-label--type-inline'>A\u00a0Government\u00a0Representative\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Other'  id='choice_60_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_4_5' id='label_60_4_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_60_5\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >For industry and government representatives, are you registering for yourself or are you an alternate?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_60_5'><div class='gchoice gchoice_60_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Myself'  id='choice_60_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_5_1' id='label_60_5_1' class='gform-field-label gform-field-label--type-inline'>Myself<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Alternate'  id='choice_60_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_5_2' id='label_60_5_2' class='gform-field-label gform-field-label--type-inline'>Alternate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_6'>Position and Organization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_60_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_60_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which part(s) of the event will you be joining?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_60_7'><div class='gchoice gchoice_60_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Morning: closed session for Carleton researchers\u00a0'  id='choice_60_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_7_1' id='label_60_7_1' class='gform-field-label gform-field-label--type-inline'>Morning: closed session for Carleton researchers\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Networking lunch\u00a0&amp; Keynote Address\u00a0'  id='choice_60_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_7_2' id='label_60_7_2' class='gform-field-label gform-field-label--type-inline'>Networking lunch\u00a0&#038; Keynote Address\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Afternoon: panels and discussions between researchers, industry and government\u00a0'  id='choice_60_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_7_3' id='label_60_7_3' class='gform-field-label gform-field-label--type-inline'>Afternoon: panels and discussions between researchers, industry and government\u00a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_60_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Reception following the panels and discussions'  id='choice_60_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_7_4' id='label_60_7_4' class='gform-field-label gform-field-label--type-inline'>Reception following the panels and discussions<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_8'>Do you have any dietary restrictions?<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_60_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_9\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_9'>Do you have any accessibility needs?\u00a0<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_60_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_60_10\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_10'>For Carleton researchers only: Please submit\u00a0a 150-word summary of your research interests and identify\u00a0emerging or future areas\u00a0in your discipline\u00a0for research collaboration. This information will be collated and shared with participants ahead of the event.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_60_10' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_60_11\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please note there will be photography on site during the plenary sessions of this event, which may be used by Carleton University for promotional purposes. Should you prefer to not have your photograph taken during this event, please\u00a0check the box below.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_60_11'><div class='gchoice gchoice_60_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='I prefer not to\u00a0have\u00a0my photograph taken during the event.'  id='choice_60_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_60_11_1' id='label_60_11_1' class='gform-field-label gform-field-label--type-inline'>I prefer not to\u00a0have\u00a0my photograph taken during the event.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_60_13\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_60_13'>CAPTCHA<\/label><div id='input_60_13' class='ginput_container 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