Date of Submission:

I would like to present this at: Federal 2003

Personal Information

Primary Speaker Name:

Primary Speaker Title (if applicable):

Additional Speaker Name(s) and Title(s) (if applicable):

Speaking on Behalf of:

Primary Contact's Email:

Primary Contact's Telephone:

Speaker's Email (if different from the primary speaker's email):

Speaker's Telephone (if different from the primary speaker's telephone):

Has the speaker spoken at a previous Black Hat event? Yes or No

Presentation Information

Select the track(s) that your talk would be most appropriate for your topic (you must select at least one of the eight):

[ Attack! ]

[ Policy, Procedure and Law ]

[ IDS, IPS and Honeynets ]

[ Defend! ]

[ Applciation Security ]

[ Routing & Infrastructure ]

How much time does your presentation require? 75 minutes or 90 minutes or other (please specify)

What are the three most important reasons why this is a quality Black Hat talk?

Reason 1:

Reason 2:

Reason 3:

Is there a demonstration? Yes or No

Are the speaker(s) releasing a new tool? Yes or No

Are the speaker(s) releasing a new exploit? Yes or No

Is there audience participation? Yes or No

Has or will this presentation be seen elsewhere within 60 days of the conference?

What are your equipment needs?

Will you require more than 2 lcd projectors? Yes or No - if yes, please specify how many

Will you require internet access? Yes or No

Will you require a white board? Yes or No

Are there any other special equipment needs that you will require? Yes or No - if yes, please specify

Detailed Outline:

You must provide a detailed outline containing the main points and navigation through your talk - show us how you intend to begin, where you intend to lead the audience and how you plan to get there. The outline may be provided in a separate attachment and may be as simple as a text file or as detailed as a "barebones" presentation. The more information you provide to us, the better chance we have of giving your presentation fair scrutiny.
Presentations that are submitted without outlines (eg that have only ppt or white papers attached or only point to a URL) will not be considered.

Abstract:

This text will be used for the website and printed materials. In a nutshell, what your presentation will cover. Attendees will read this to get an idea of what they should know before your presentation, and what they will learn after. Use these paragraphs to tell people how technical the talk is, what tools will be used, what materials to read in andvance to get the most out of your presentation. This abstract is the primary way people will be drawn to your session.
Presentations that are submitted without abstracts (eg that have only ppt or white papers attached or only point to a URL) will not be considered.

Supporting File(s):

Additional files/materials? Yes or No

Type of file(s): Powerpoint, Word, PDF or Other

Additional supporting materials such as code, white papers, proof of concept, etc should be sent along with this email to cfp<a>blackhat.com. Note that additional files that may help in the selection process should be included. We are NOT asking for a complete presentation for submission along with the CFP.

Speaker's Bio(s):

This text will be used for the website and printed materials. Cover any professional history that is relevant to the presentation, including past jobs, tools that you have written, etc.
Presentations that are submitted without biographies will not be considered.

Transfer of Copyright

I warrant that the above work has not been previously published elsewhere, or if it has, that I have obtained permission for its publication by Black Hat, Inc. and that I will promptly supply Black Hat, Inc. with wording for crediting the original publication and copyright owner.

If I am selected for presentation, I hereby give Black Hat, Inc. permission to duplicate, record and redistribute this presentation; including, but not limited to, the conference proceedings, conference CD, video, audio, hand outs(s) to the conference attendees for educational, on-line and all other purposes.

Yes, I have read the above and agree to the Transfer of Copyright.

Agreement to Terms of Speaking Requirements

If I am selected to speak, I understand that I must complete and fulfill the following requirements or I will forfeit my honorarium:

1) I will submit a completed presentation in either Powerpoint format for publication in the printed conference proceedings by September 1, 2003.

2) I understand if I fail to submit a completed presentation by September 1, 2003, I may be replaced by an alternate presentation or may forfeit my honorarium.

3) I will submit a completed (and possibly updated) presentation, a copy of the tool(s) and/or code(s), and a reference to all of the tool(s), law(s), Web sites and/or publications referenced to at the end of my talk and as described in this CFP submission for publication on the conference CD by September 15, 2003.

4) I will include a detailed bibliography as either a separate document or included within the presentation of all resources cited and/or used in my presentation.

5) I will be on hand and accessible to delegates during Black Hat social events including, but not limited to, luncheons and receptions.

6) I will complete my presentation in the time allocated to me - not ending 15 minutes before or running 5 minutes over the time allocation.

7) I understand that Black Hat will will provide 2 lcd projectors, 2 screens, microphone, and video switch box. I understand that I am responsible for providing all other necessary equipment, including laptops and machines, to complete my presentation

8) I will submit, within 5 days of the completion of the conference, any updated, revised or additional presentation(s) or materials that were used in my presentation but not included on the conference CD or conference proceedings.

I have read the above and understand and agree to the terms as detailed in the Agreement to Terms of Speaking Requirements.

Agreement to Terms of Speaking Remuneration

1) I understand that Black Hat will only pay for one roundtrip coach class airfare per presentation.

2) I understand that if I choose to arrange the airfare myself, I must first receive approval from the Conference Administrator or I will not be reimbursed for the airfare. I understand that if I wish to be reimbursed for airfare, I must supply a valid receipt in the form of a travel agency issued air itinerary and/or ticket receipt with the airfare printed on it. I understand that there is a $750 cap for airfare and I will be reimbursed for up to that amount.

3) I understand that if I choose to travel by automobile I will receive $0.32 per mile, roundtrip, as reimbursement. If I travel by rail or bus I will be reimbursed for the cost of the ticket price.

4) I understand that Black Hat will pay for one hotel room for three nights at the Sheraton Premiere at Tyson's Corner.

5) I understand that I will be required to provide the hotel with a valid credit card on check in to secure the room and any and all additional costs incurred by me (including but not limited to room service, phone line usage, room internet access, movies, etc) WILL NOT be reimbursed by Black Hat.

6) I understand that the person listed as the primary speaker will be required to complete a W9 form (only if a US citizen) in order to be paid. Non-US citizens will be paid via wire transfer (or you may choose to be paid with a company check).

7) I understand that Black Hat will issue one payment per presentation and the check will be issued to the person listed as the primary speaker.

8) I understand that the name and address on the W9 or wire transfer is where the payment will be sent.

9) I understand that if I am employed by an official Black Hat sponsor, that I will not receive any compensation for travel, hotel accommodations or an honorarium from Black Hat, Inc.

10) I understand that should my talk be determined to be a vendor or sales pitch that I will not receive any reimbursement for travel, hotel accommodations or an honorarium.

Yes, I have read the above and understand and agree to the terms as detailed in the Agreement to Terms of Speaking Remuneration or I will forfeit my honorarium.