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 at http://www.ieee.org/web/geo_activities/units/volunteer/qualify.html.

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

GEOGRAPHIC OFFICERS Reporting
CHAPTER and or AFFINITY GROUP CHAIRS Reporting

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

Prepared By:
Title:
Geographic Unit:
Geocode:
Officers' Terms End Date:
Send copy of this form to (1 email only):

Reporting OU Type:

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

GEOGRAPHIC OFFICERS (Region/Section/Subsection/Council)

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

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.

For Affinity Groups and Society Chapters, Chairs and Treasurers are reported in the Geographical Organization Roster.

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:

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:

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: