IEEE-HKN Student Leadership Conference Registration Form

This is the registration page for the 2013 Student Leadership Conference, hosted by the Epsilon Beta Chapter of Arizona State University. Registration is free for current IEEE-HKN students.

We invite you to join us 15-17 March at ASU to participate in workshops, presentations, team challanges, and social networking.

Once your registration is complete, we will send out conference information to you including: Conference rates on local hotels, program updates, conference agendas, social media pages, and more!

* First Name:

* Last Name:

* Name for Badge:

* Email:

* HKN Chapter:

Position in Chapter (If Applicable):

Please check this box if you are a Faculty Advisor.

* What is your Current Year in School?

* Expected Graduation Date?

* Are you Interested in Serving on a National IEEE-HKN Committee or other Leadership Opportunities?

Yes

No

* What is your Shirt Size?

* Free refreshments and food will be served at various times throughout the conference. In order to provide enough food for all attendees, please check the events you plan to attend.

Friday night Welcome reception

Saturday Breakfast

Saturday Lunch

Saturday Dinner

* Are you planning to attend the optional Sunday tours/activities?

Yes

No

Please list any dietary restrictions or special needs in the space provided below.

IEEE Member Number:

Conference Questions:

What are your goals for this conference?

What would you consider a successful outcome of this conference?

What can IEEE-HKN do for you?

IEEE-HKN would be a better organization if....?

Your Career:

Do you plan to attend Graduate School?

Yes

No

Do you plan to continue your membership in IEEE-HKN?

Yes

No

After Graduation, would you be interested in assisting an IEEE-HKN local Chapter?

Yes

No

* Indicates Response Required