Elevated Engineer Series:

Building Unshakable Confidence

Registration Form

Wednesday, March 19 | 7:30 AM – 9:00 AM

Omni Atlanta Hotel at Centennial Park, North Tower M4, Grand Ballroom E

Registrant Information

Registrant Information

First Name: *

Last Name: *

Email Address: *

Which of the following best describes your affiliation: *

How many years of experience do you have? *

(you can select multiple options).

Are you a current member of PELS? *

Which IEEE Region are you from? *

The IEEE Region map can be viewed here.

Which of the following best describes your gender identity? *

Event Information:

Event Information:

Questions for the Speaker:

Do you have any dietary restrictions? *

(please select N/A for none)

Email Communications

Email Communications

Opt-in to receive emails from PELS WIE? *

Opt-in to receive emails from PELS? *

*

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