Name:

  Phone No.:

  Email Add.:

  Class.:   Senior    Junior    Sophomore    Freshman    Graduate

  Hobbies:

  What would you like out of IEEE.: (Check one or more)
Your own upperclass mentor
Parties, tailgates and other social gatherings
Field trips to interesting places
Speakers on topics of interest and career preparation
Others (Please specify)
     

If you wish to download the application form click here: