Trucking Summit Delegate Application

Please complete the below form to apply for the Summit. Make sure to complete the entire form and then click the blue "Continue" button. Please feel free to call Katie Sieracki at 847-423-2991 with any questions. We look forward to reviewing your application!

Event: Higher Ed Recreation Virtual Summit 2020
User Name*
Choose a Password*
Please retype Password*
First Name*
Last Name*
Your Title*
Name on Badge*
Confirm E-Mail*
State (two-letter abbreviation)*
Phone Number*
Cell Number*
Emergency Contact Person AND Phone Number*
To verify that you're a real human and not an automated spambot, please answer the following question:
Independence Day is the Fourth of*
*These fields are required to have a value.

Please tell us about your organization:

How many undergraduate students attend your college or university?:

Tell us a little about your college/university:

What is currently going well in your recreation program and facilities?

What keeps you up at night regarding your programs and facilities?

If you could ask a room full of your peers from other colleges/universities a question or two, what questions would you ask?

Are you a part of any industry-related organizations? Which regional/national events do you typically attend for development?

What's your organization's projected need for cardio equipment?

What's your organization's projected need for strength/functional equipment?

What's your organization's projected need for recreation software?

What's your organization's projected need for lockers?

What's your organization's projected need for flooring/turf?

What's your organization's projected need for sports equipment?

Are you building or updating facilities in the next 12-18 months:

Do you oversee any pools/aquatic centers? If so, please describe and any upcoming needs in the next 12-18 months:

Any additional product acquisitions planned for the next 12-18 months:

If you could have dinner with two or three others in the industry who would you choose?

Please list at least one product or service company who you'd like to learn more about. You can enter as many as five:

What is the name and title of your immediate supervisor?

Do you have access to a camera on a computer?

I Agree: If I am selected to participate in the Higher Ed Recreation Virtual Summit, I agree to be present for all sessions, meetings and functions scheduled for the event.

Please Enter a short Bio

Please only click the "continue" button once. The application will take a moment to process your responses.