IEEE Continuing Education
Application Form 
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:
Are you interested in any of the following? ( Please check all that apply)
* Indicates Response Required