IEEE Certificates Program Course Application

Organization Data
Background Information 
Which IEEE Field(s) of Interest does this course or program supplement or complement? 
Please check all that apply. *
Is your institution accredited by a professional credentialing organization. *
Do you currently have, or have you ever had, a relationship with IEEE? *
Instructional Data
How will these offerings be presented? (Check all that apply) *
Are these offerings available in multiple languages? *
Can students interact directly with the professor or presenter?
If so, please check all that apply:
Are there supplemental materials (Books, papers, CDs, web sites, Etc.) for your offerings? *
If yes, please check all that apply:
Please submit 3 instructor biographies which best represent your course offerings. 

Please submit 3 course discriptions which best represent your course offerings. 

Professional Development 
Does this offering help professionals prepare to meet or maintain a certification or licensure? *
Specify the type of credit (if any) earned upon completion of this offering:
By submitting this form, you are giving IEEE permission to contact you in order to deliver the certificate you have requested. Please note that we are required to retain a record of the personal information you submit related to this certificate for a minimum of 7 years. For more information on how we use your personal information, please the IEEE Privacy Policy. (Links to: