IEEE PELS Women in Engineering

IEEE PELS Women in Engineering

- Event Support

Point of Contact Information

Full Name*

Email Address*

Event Information

Reason for Completing Form

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Please note: PELS WIE is not responsible for staffing the event you inquire about. This will be the responsibility of the committee that is organizing the event.

Have you hosted a WIE event before?*

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Potential Date

Type of Event?*

Questions for Committee

Please note: PELS WIE is not responsible for staffing this event. It will be the responsibility of the committee that is organizing the event.

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In exchange for funding, each event must provide the following:

Before the event

Promotional content for IEEE PELS to promote
A write-up that covers key highlights
How the event supports IEEE PELS's diversity initiatives and future plans

After the event (due 1 month after event date)

Photos of the event
Write-up of event

If the post-event form is not completed, this will impact your future funding requests.

Event Name/Title*

Description*

Conference URL*

Sponsors?*

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IEEE Region*

Click here to view a map of IEEE's regions.

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Requested Amount (USD)*

Breakdown of Funds

Please describe how the funds will be used for the event.

Expected Attendance*

Description of Event*

How will you support diversity?*

Will you be the individual responsible for organizing the event?*

By clicking yes, you agree to be the primary point of contact that will be in contact with the PELS WIE Committee before, during, and after your event.

Yes

Contact Name*

Contact Email Address*

By checking this box, you agree to provide promotional content so that the event can be promoted by PELS WIE.

Please note: The PELS WIE committee will use the content you provide here to write an article about the success of your event. All content from the event is due one month after the event.

What are some of the highlights from your event?*

You can also include a summary of the event here.

What aspects of your event went well?*

What aspects of your event could be improved?*

How many attendees were at your event?

Quotes from Attendees*

Please include the attendee's name (if available)

By checking this box, I agree that the PELS WIE Committee can publish any quotes and photos that are provided along with their article.

Promotional Content and/or Photos

Drag and drop files here or

Send me a copy of my responses

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