IEEE Electronics Packaging Society Distinguished Lecturer Request Form

EPS Distinguished Lecturers are 'Fellow Caliber' members of the technical community and experts in their fields. DLs are available to present lectures (keynote or Invited Panels), seminars, at various EPS Society events such as, Workshops, Symposia, and Conferences. However, no travel support will be provided if the DL is also a conference officer (such as Conference Chair, Technical Chair, etc.) or Session Chair. All Distinguished Lecture reimbursement limits will be in line with the current EPS Board of Governors travel guidelines (Maximum reimbursement levels per trip of $1600 for Intracontinental travel and $2450 for Intercontinental travel). Each DL is also limited to a total of two reimbursements per year. Exceptions may be approved by the VP Education.

Distinguished Lecturer's Name*

Type of Event*

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If a conference event, is DL a member of the organizing committee? Yes, No*

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If DL is a committee member, please state position

Is this an IEEE EPS Sponsored Event?*

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Event Name*

Location of Event*

Please indicate what Chapter, Conference or Workshop the DL is for and if it is online or in person.

Where/How will the Lecture be Given?

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Requestor's Name*

Requestor's Position (e.g. Chapter Chair)*

Email*

Event Date*

Financial Support Requested*

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Presentation Type*

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Title of Presentation*

Audience (i.e. EPS members, IEEE, students)

Is there an attendee fee?

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Expected Number of Attendees

Post Event Survey Must Be Completed

https://app.smartsheet.com/b/form/ca4bbb2773b54190aa6ea227a39c8b5c

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