Request for Employer/Volunteer Letter

Request Date*

Please enter today's date

Please tell us about yourself.

We need to know if you are male or female because of the wording of the letter and we need your name and IEEE member number. Letters will not be provided for those who are not IEEE/IAS Members.

Female

Male

Name of person being recommended-First name*

Enter your first name here

Name of person being recommended-Last name

Please enter your last (family) name here

Requesters_IEEE_member_number*

Enter your IEEE member number here. Letter's cannot be provided for non-IEEE members

Requester's Email Address*

Enter your email address here

Please tell us about the person to whom you want us to send the letter

Addressee*

Enter the name of the person who will receive this letter

Please enter the title of the person that is receiving this letter*

Name of Employer*

Enter the name of the company where the person works

Employer's E-mail Address*

Address 1

Address 2

State/Region

Postal Code

City

Country

Volunteer Activity History

Please list your volunteer activity in the spaces provided below. Example: If you are requesting time off from your job to present a paper you authored at an IAS conference, list "author name, paper title, conference, dates" or if you are involved in an IAS committee list the conference name and the committee work you plan to do at the conference. Please limit your responses to 300 characters per activity.

Volunteer Activity 1*

Volunteer Activity 2

Volunteer Activity 3

Send me a copy of my responses

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