IEEE Officer Confirmation Report

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Officer Confirmation Report

PLEASE NOTE: If a newly elected officer does not meet eligibility requirements, or if officers are not reported, the position will be listed as vacant until reporting of an eligible officer is received. You can review eligibility requirements for Regions, Sections, Subsections, Councils, Affinity Groups, and Chapters, Student Branches, Student Branch Chapters and/or Affinity Groups at http://www.ieee.org/organizations/rab/scs/volunteer/qualify.htm.

The Officer Confirmation form is used to report officers of Regions, Sections, Subsections, Councils, Affinity Groups, Chapters, Student Branches, Student Branch Chapters and/or Affinity Groups. Please specify the entity for which you report. Please be sure to have only ONE person from your unit submit the Officer Confirmation form. Any questions should be directed to IEEE Member and Geographic Activities Department at scs-officer-report@ieee.org.

GEOGRAPHIC OFFICERS Reporting
CHAPTER and or AFFINITY GROUP CHAIRS Reporting
STUDENT BRANCHES, STUDENT BRANCH CHAPTERS and/or AFFINITY GROUPS

Prepared By:
Title:
Geographic Unit:
Geocode:
* Officers' Terms Start Date:
* Officers' Terms End Date:
Send copy of this form to (Email only):

Reporting Unit Type:

Region Positions only
Council Positions only
Section/Chapter/Affinity Group Positions
Section Positions only
Chapter Positions only
Affinity Group Positions only
Student Branch Positions only
Student Branch Chapter Positions only
Student Branch Affinity Group Positions only

GEOGRAPHIC OFFICERS (Region/Section/Subsection/Council)

Eligible Grades: Fellow, Senior Member, Member, Graduate Student Member

ENTITY NAME:
ENTITY EMAIL:
Please use IEEE E-mail aliases whenever possible.

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

Reporting Position Type:
If "Other Position" is selected, please specify:
Name:
Member Number:
Email:

CHAPTER and/or AFFINITY GROUP CHAIRS

Eligible Grades: Fellow, Senior Member, Member, Graduate Student Member

Please provide the names and member numbers for the CHAIR and TREASURER of each of your Student Branch Chapters and/or Affinity Groups. Specify the Society Chapter / Affinity Group in the space provided.

CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

STUDENT BRANCHES, STUDENT BRANCH CHAPTERS and/or AFFINITY GROUP OFFICERS

Eligible Grades:

COUNSELOR: Fellow, Senior Member, Member, Graduate Student Member
ADVISOR: Fellow, Senior Member, Member, Graduate Student Member
CHAIR, VICE CHAIR, TREASURER: Student Member, Graduate Student Member

Please provide the names and member numbers for the CHAIR and TREASURER of each of your Unit's Chapters and/or Affinity Groups. Specify the Society Chapter / Affinity Group in the space provided.

BRANCH\CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

BRANCH\CHAPTER\AFFINITY GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

BRANCH\CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

BRANCH\CHAPTER\AFFINITY GROUP:
Reporting Position Type:
Name:
Member Number:
Email:

BRANCH\CHAPTER\GROUP:
Reporting Position Type:
Name:
Member Number:
Email: