IEEE Section Member Activity Log
The purpose of this form is to help you keep track of your progress in your activities as part of the incentives program with a focused on STEAM-TEAMS activities (see Strategic Plan at https://r5.ieee.org/pikespeak/strategic-plan).

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Email *
1.  Membership ID
2.  Last Name, First Name *
Question 3.  Select your choice
STEAM-TEAMS Name  [Comunity Outreach, Industry Outreach, Chapter participating in STEAM-TEAMS (ST) activity]
- Community Outreach (O/R) includes: Squishy Circuits, AI, Robotics, Future City Colorado, 'What-If' Festival, Space Foundation - Summer of Discovery, Library ST Activity, 
- Multi-media Content Creation for Marketing (website management, newsletter, email marketing (e.g. vtools 'Engage'), video marketing, social media (linkedin, FB, Instagram, etc)

- LMAG = Life Member Affinity Group
- PPS = Pikes Peak Section
- YP = Young Professional

3.  Check that applies
Chair
Vice-Chair
Treasurer
Secretary
Participant
Community O/R
Industry O/R
Multi-Media Content Creation for Marketing
Joint CAS/EDS ST
Magnetics ST
Power and Energy ST
LMAG Mentor ST
YP Mentor ST
Other
If 'Other' is selected, put your name of ST below
4.  Section Activity Type *
5.  Activity Description
6. Total Time Spent (in minutes) *
7. Date Logged (MM/DD/YYYY) *
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