IEEE Continuing Education
Application Form 

Provider Commitment

Organization Data
Background Information 
Which IEEE Field(s) of Interest does this course or program supplement or complement? 
Please check all that apply:
 AerospaceCircuits & SystemsComputational IntelligenceControl SystemsElectron DevicesGeoscience & Remote SensingIndustry Applications
 Instrumentation & MeasurementInformation theoryMagneticPower Engineering/ Power Electronics
 Antennas & PropagationCommunications, TelecommunicationsComputerDielectrics & Electrical InsulationEngineering ManagementImage & Signal Processing
 Broadcast TechnologyComponents, Packaging & Manufacturing TechnologyConsumer ElectronicsElectromagnetic CompatibilityEngineering in Medicine & BiologyIndustrial ElectronicsIntelligent Transportation Systems
 Microwave Theory & TechniquesOceanic EngineeringProfessional CommunicationsSensorsSolid-State CircuitsUltrasonics, Ferroelectrics & Frequency controlNanotechnology
 ReliabilitySignal ProcessingSuper ConductivityVehicular TechnologyNuclear & Plasma SciencesProduct Safety EngineeringRobotics & Automation
 Social Implications of TechnologyLasers & Electro-OpticsSystems Man & CyberneticsOther ( Please Specify Below)
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 at least one instructor biography which best represents your course offerings. 

Please submit at least one course discription 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: