This form is for the
permanent records of the Section Secretary who will forward all copies to the IEEE
Regional Activities Department in one package at the end of each calendar year.
Section Secretary- complete and
file this form following each meeting of the Section. Subsection Secretary- complete and forward this report to the Section
Secretary following each Subsection meeting. Chapter or Affinity Group Officer - complete and forward this report to the
Section Secretary within ten days following each Chapter or Affinity Group meeting.
SPONSOR OF MEETING (fill in name):
Section or
Council:_______________________________________________
Title of
Paper:_____________________________________________________
Speaker:______________________ Organization___________________
Phone:___________ Email Address:_______________________________
Speaker Rating: Would you recommend this speaker to other IEEE audiences?
(circle) NOT RECOMMENDED 1 2 3 4 5 STRONGLY RECOMMENDED
Title of
Paper:_____________________________________________________
Speaker:______________________ Organization___________________
Phone:_________ Email Address:________________________________
Speaker Rating: Would you recommend this speaker to other IEEE audiences?
(circle) NOT RECOMMENDED 1 2 3 4 5 STRONGLY RECOMMENDED