Volunteer Inquiry Form

Date*

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Thank you for your interest in volunteer activities within the IEEE Industry Applications Society. Please provide us with some information about yourself and they type of volunteer activities you are interested in. Many of our volunteers start by reviewing papers for technical committees, but there are also opportunities available in our standard working groups and assisting in conferences.

First Name*

Last Name*

email Address*

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IEEE Member Number*

IEEE Member Grade*

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IEEE Section*

Which IEEE Section do you belong to?

Are you an IAS Member?

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No

List IEEE Conferences Attended

Please list the last few IEEE conferences you attended

What is your technical area of interest?

Please list what type of volunteer job you would like to be considered for

Please select one of the technical committees listed below.

Are you a YP Member?

Are you a WIE Member?

Other -please specify

Would you like to serve as a reviewer?

Previous volunteer activities

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