IEEE MOVE Volunteer Support Survey

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Thank you for your engagement with the MOVE Community Outreach program. It is through the diverse efforts of volunteers like you that make this program possible. Information you provide will allow us to appreciate your talents and time so we can best engage you in the program.

Your completion of this survey is totally voluntary and we ask that you read the IEEE policies regarding privacy of the information you provided and indicate "accept" below.

Thank you.

Email *

First Name *

Last Name *

Secondary Email Address (Optional)

Are you an IEEE Member?

Membership in IEEE is open to individuals who by education or experience give evidence of competence in an IEEE designated field. The designated fields are: Engineering, Computer Sciences and Information Technology, Physical Sciences, Biological and Medical Sciences, Mathematics, Technical Communications, Education, Management, and Law and Policy

Yes

Application Submitted

IEEE Member Number

Please read the IEEE Terms & Conditions: https://www.ieee.org/about/help/site-terms-conditions.html and Privacy Policy: https://www.ieee.org/security-privacy.html I have read and agree. *

Yes

May we contact you directly? *

Yes

IEEE Region *

IEEE Section

Phone number where we can contact you

City (where you are based now) *

State (where you are based now) *

Your interest (you may answer more than one) *

Disaster Response Deployments

STEM Education & Events

Fundraising

Social Media / Communications

Weather Team

Amateur Radio Club

Required

How much time can you dedicate?
*

Temporary - Keep me in mind for small, one-time project, event, or time-defined task.

Monthly - Less than 5 hours per month for repeating tasks, or routine opportunities.

Part Time - Less than 5 hours per week in support of administration, operations, and program support.

Champion - Between 5 and 10 hours per week, actively engaged with the program.

Leadership - Over 10 hours per week as chair of a committee, working group or supporting a highly active project

Other:

Do you have any restrictions that would impact your ability to deploy?

Would you like additional information on how to participate in the MOVE program?

Yes

Clear selection

Are you an Amateur Radio Operator? *

Yes

If yes, what is Call Sign and Operating Class?

Are you currently a Red Cross Volunteer? *

Yes

If Yes, please provide your Red Cross Volunteer number

Red Cross GAP(s) and last time you took DST 101 class

Have you completed the IEEE MOVE Operations class? *

Yes

Date you completed Operational class (approximate)

YYYY

Have you completed Hands On Truck Training *

Yes

Date you completed Hands On Truck Training (approximate)

YYYY

Suggestions or Comments? Anything else you would like us to know about yourself? Involvement with IEEE? Society & Council participation? Specialized skills? Your relationships and networks? Experiences that will be an asset to the program? Tell us how you can help the MOVE program global expansion.

A copy of your responses will be emailed to the address you provided.

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