IC22-010 Sustainability for Connectivity & TelecomInterest Form

IC22-010 Sustainability for Connectivity & Telecom

Interest Form

To learn more about this activity, please visit the Industry Connections Webpage:

For additional questions and inquiries, please contact:

SCOTS-chair@ieee.org

First Name*

Last Name*

Email*

This email will be used to communicate with you related to this IEEE SA Industry Connections Activity

City*

State*

Country of Residence*

This information will only be used to assist in meeting coordination of meeting times across various time zones.

Affiliation/Company (e.g., employer)*

Affiliation(s) within IEEE (if applicable)

(ex. IEEE Senior Member, participant in other Industry Connections Activities, IEEE WG, etc.)

Availability for Meetings?

Select or enter value

What is your preferred frequency/availability for meetings?

Role (i.e. chair, vice chair, sub-chair, etc.)

Select or enter value

Areas of Interest

Please include your areas of interest and motivation for joining this Industry Connections activity

IEEE Privacy Policy Acceptance*

By submitting this form, I acknowledge and accept the terms of the IEEE Privacy Policy

Send me a copy of my responses