IEEE

Circuit Design Team Information

 

Thank you for your interest in participating in the 2014 IEEE Region 5 Circuit Design Student Competition.  Please visit the student event pages for information on eligibility.

Please note this form is only to identify your team and enable you to receive information on the student competition that you  wish to participate in.  This does NOT register your team members for the actual competition.

 

    Your College/University Name (required):

    Your IEEE Student Counselor Name (required):

    Your Counselor Email Address (required):

    Please provide information on Team Members

    1.

    2.

    Certification

    By affixing my name below, I hereby certify that the information is correct to my knowledge. The team members are or shall become, before the competition, members of IEEE.

    I/we also acknowledge that I/we have to separately register and pay to attend the conference so as to participate in the actual competition. This form is used only for planning purposes.

    Uncheck here if you accept these terms

    Type in your full name as signature
    and your email address