AIS Student Chapter Intent to BidInstructions This form is for AIS Student Chapters interested in hosting a future AIS Student Chapters Leadership Conference. We are currently accepting bids for a virtual AIS Student Chapters Leadership Conference in 2021. Completion of this form by December 1, 2020 for will confirm your intentions. Once the form is received you will be contacted by an AIS representative, who will answer any questions you have about preparing your bid and next steps in the process. If you have any questions about completing this form or about the process, please email Alex Lopes, AIS AVP for Student Chapters, First and Last Name Name of member completing this form. Your role Faculty AdvisorStudent Chapter PresidentOther If you answered Other, please explain your role Your contact number Your email SectionWhich year(s) are you interested in hosting the AIS Student Chapter Leadership Conference? *2021 (virtual)20222023 University to Host * Contact InformationFaculty AdvisorFirst Name * Last Name * Institution Name * Institution City, State, Country Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Email * Phone * Fax Is your AIS Student Chapter active and in good standing? *NoYes *Note: Hosting a Student Chapter Conference is an honor and high visibility for your chapter. Chapters must be active and in good standing to host. Department Chair InformationFirst Name * Last Name * Email * Phone * Fax * Is your Department Chair an AIS Member? *NoYes Additional InformationHave you confirmed the support and approval of your Department Head and Dean prior to submitting the form? *NoYes Please provide a brief statement of why you would like to host the AIS Student Chapter Leadership Conference and why your institution would be a desirable venue. Hosting a conference takes resources as well as university and leadership support. Please discuss your plan for funding, your resources, and support that make your institution a good candidate to host. BEFORE YOU SUBMIT THIS FORM1. Preview your input to assure completion. 2. Print a copy for your records. 3. Press here to submit the form. The form will be automatically forwarded to AIS Student Chapters with a copy to the submitter. AFTER YOU SUBMIT THIS FORMOnce the form is received, we will respond confirming receipt and report on next steps in the process. Section Fieldset VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank
