In order to facilitate your attendance, please fill out the following information [items denoted with an asterisk (*) are required].
Please list your first/given and last/family names EXACTLY as they appear on your passport. Please use upper and lower case letters (not all capital letters.)
Please provide a text of no more than 300 words summarising your professional experience, including a short paragraph highlighting your expectations for this program and what you are looking to achieve by participating in this program. Please refrain from uploading CVs as they will NOT be accepted.
Max upload: 8MB
Max upload: 4MB
Please provide 2 flight itineraries arriving at/departing from Newark International Airport (EWR) in order of preference.
Travel arrangements cannot be made until a signed IEEE SA Fellowship Program Participant Agreement and a Non-Disclosure Agreement (NDA) have been submitted to IEEE SA. Once IEEE SA receives this and all other required forms, the agreement will be generated electronically for your review and signature.
IEEE will purchase your airline ticket for round-trip travel for the meeting from your city of residence on dates reasonably close to the actual meeting.
Travel may not be extended for personal or business purposes and travel companions may not accompany you during your Fellowship.
Upon submission of this form, you will be redirected to a page to upload your valid visa, W-8 Form and Wire Transfer/ACH Payment Form.
By submitting this form, you consent that IEEE can share your personal data with third parties for the sole purpose of making meeting and travel arrangements for you. Further, you agree that your brief biography and photo will be shared with IEEE SA staff and volunteers for the purposes of tailoring the Fellowship Program.
Click the submit button once and please be patient as it may take a few minutes for the information to be submitted. Once the information has been submitted, you will receive an email confirmation of your submittal in a few minutes.