OTA Registration

Event Information

Event Title [webform_submission:node:title]

Start Date

End Date

User Information

First

Last

Email Address

Confirm Email Address

Employer Name

Job Title

Experience

Please rate your experience on the following types of operational technology. On a scale of 1-5, 1 being less than one year of experience and 5 being I have more than 10 years of experience.

Questions	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Access Control Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Additive Manufacturing Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Nuclear Safety Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Building Automation Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Test and Evaluation Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable
Manufacturing Systems	1 (Less than 1 year)	2 (1 to 3 years)	3 (4 to 6 years)	4 (7 to 9 years)	5 (10 or more years)	Not Applicable

Have you completed OTA 100?

Yes

Have you completed OTA 200?

Yes

Please list specific skills

Cyber Security

Threat Analyst

Physical Security

Safety

Counter subversion

Operational Technology Manager/Operator

Operational Technology Designer/Builder

Other…

Other

Please list your highest level of education and any other OTA relevant professional expertise. e.g. Master of Science-Electrical Engineering, 5 years designing electrical circuit boards, PE, PMP.

Please provide a short description of your experience/role with the OTA process.

Math question

2 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.