TFOME III Industry Day Registration Form_Final.pdf

Industry Day Attendee Registration Form

Test Facility Operations, Maintenance, and Engineering III (TFOME III)

80GRC024R0001

This form must be fully completed in order to register for the TFOME III Industry Day. Send completed forms to Rita K. Dickens, Contracting Officer at rita.k.dickens@nasa.gov.

There is a limit of three (3) persons per organization maximum, though fewer is fine as well.

Pre-registration is required. Registrations must be received no later than Friday, May 24, 2024, at 12:00pm Eastern Time. Unregistered visitors will not be permitted to enter NASA Glenn Research Center Lewis Field (LF) or Armstrong Test Facility (ATF).

Note: All attendees MUST provide a valid, Government-issued photo ID on each day entering NASA GRC LF or ATF.

Part 1: Organization Information

Organization Name

Address

CAGE Code

Unique Entity Identifier

Part 2: Attendee Information

Attendee #1

Name (This must be your full, legal name on your Government issued ID)

Position/Title

Email

Phone Number

Citizenship (US Citizen or Lawful Permanent Resident (Green Card Holder))

Attendee #2

(This must be your full, legal

Phone Number

Citizenship (US Citizen or Lawful

Attendee #3

(This must be your full, legal

Phone Number

Citizenship (US Citizen or Lawful

Part 3: One-on-One Session Request

My Organization would like to request a One-on-One Session:

(check one)

Yes

No

If you checked yes above, please complete the following question.

The preferred day/method for a One-on-One Session is:

(fill in preference 1 through 4, 1 being the most preferred and 4 being the least)

Wednesday, June 5th in person at LF

Thursday, June 6th in person at ATF

Friday, June 7th in person at LF

Friday, June 7th virtually via MS Teams

The Contracting Officer will contact you to schedule a One-on-One session. Not all organizations will be able to receive their preferred day.

Part 4: Questions

Please submit any questions your organization would like answered publicly in the group presentation and any questions the organization would like answered in their One-on-One session. NASA GRC will not disclose who submitted which question(s). If you do not have questions at this time, you may still ask questions at the Industry Day presentation or in a One-on-One Session.