IEEE Humanitarian Activities Committee - Conference Participation Program Application
Supporting accepted authors, panelists, and workshop organizers.
Event for which you are requesting support to attend MUST not have already occurred AND must be more than three weeks past the current application deadline.
Email address *
This program supports accepted authors, panelists, and workshop organizers. Event for which you are requesting support to attend MUST not have already occurred AND must be more than three weeks past the next application deadline (27-MAR-19).
1a. Your name *
Your answer
1b. Your LinkedIn profile, if available, or other such website
Your answer
1c. Your country of residence *
Your answer
1d. Your city (or U.S. state) of residence. *
Your answer
2a. Which best describes you? *
2b. What is your IEEE Member # and Grade (if applicable)?
Your answer
3a. Event name *
Your answer
3b. Event URL, if available
Your answer
3c. Please list the starting date of the event: *
MM
/
DD
/
YYYY
3d. Which best describes your active participation in the event? *
Required
3e. Describe your contribution to the event, including the name of the session/paper/workshop, etc. Please include the Sustainable Development Goals (SDGs) that your contribution aligns with. *
Your answer
3f. Describe how you will use your experience at the event to enable IEEE members to carry out and/or support impactful sustainable development and humanitarian activities at the local level. *
Your answer
4. Have you received travel support from HAC in the last 12 months? *
5a. Approximately how much will your travel to the event cost you in USD? (Includes coach airfare, ground transportation, and hotel accommodation) *
Your answer
5b. Please provide a breakdown of the total travel cost listed above. (You may include a link to a Google spreadsheet with a full breakdown.) *
Your answer
5c. Have you requested or already been offered or secured any support to participate to this event. *
5d. If answer to 5c is yes, please provide more information.
Your answer
6. Your gender
7. Which one of the following categories best describes your current employment status?
A copy of your responses will be emailed to the address you provided.
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