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Chapter Report Form

Instructions:

1. Click on the form box
2. Fill in the required information

CHAPTER INFORMATION:

Chapter Name:
Chapter Web Address:
Is this a joint Chapter? Yes No
If yes, please specify affiliated Societies:
(Hold CTRL+Click to select multiple options)
Number of Chapter members:
Reporting period: 1st Semester 2nd Semester

CHAPTER CHAIRMAN INFORMATION:

Name:
Home Address:
Phone:
Email Address:

CHAPTER ACTIVITY INFORMATION:

  TYPE OF MEETING
  Technical Meeting Educational* Administrative Professional Social
Number of Meetings in Reporting Period
Average number of attendees per meeting
  * Workshops,short courses

BOB HAISLMAIER ANGEL FUND USAGE

  Meeting Date (DD/MM/YY) Sum of Angel Funds Provided Purpose and Usage
1
2
3

TECHNICAL MEETING INFORMATION

  Date
(
DD/MM/YY)
Title of Presentation/Name of Speaker Attendance Speaker Category
IEEE Other Total

Please use the above texts as a guideline to fill in as many Technical Meetings as needed.

Speaker Catergory options are
S
: Student
M: Non-Student
O: Non-Chapter member
D: IEEE Distinguished Lecturer

Example:
12/02/07
Introduction to the Traveling Wave Tube/Tom Sertic
14,12,26
O

OTHER ACTIVITIES

  Number Information
Conference/Colloquia/Mini-Symposia organized
Sponsorship or co-sponsorship of technical Symposium

OTHER INFORMATION

Does your Chapter sponsor the IEEE EMC Society Symposium this year? Yes No
Does a Chapter award program exist? Yes No
Does your Chapter have Chapter newsletters? Yes No
Was an EMCS Newsletter report submitted to the Chapter Chatter section? Yes No

SUGGESTIONS & COMMENTS

Please suggest how the EMCS Board of Directors can support the Chapters to meet desired goals:


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