forms1.ieee.org
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https://forms1.ieee.org/IEEE-Professional-Development-Suite.html
Submission: On March 04 via manual from FR — Scanned from FR
Submission: On March 04 via manual from FR — Scanned from FR
Form analysis 3 forms found in the DOM
<form class="mktoForm mktoHasWidth mktoLayoutLeft" id="mktoForm_7620" novalidate="novalidate" style="font-family: Verdana, Helvetica, sans-serif; font-size: 12px; color: rgb(51, 51, 51); width: 1601px;">
<style type="text/css">
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text-shadow: 0 -1px 1px rgba(0, 0, 0, 0.25);
border-bottom: 1px solid rgba(0, 0, 0, 0.25);
position: relative;
cursor: pointer;
font-size: 13px;
font-weight: bold;
line-height: 1;
text-shadow: 0 -1px 1px rgba(0, 0, 0, 0.25);
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<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> First Name:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="FirstName" name="FirstName" placeholder="* First Name" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text"
class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 180px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Last Name:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="LastName" name="LastName" placeholder="* Last Name" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text"
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Title" id="LblTitle" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Job Title:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Title" name="Title" placeholder="* Job Title" maxlength="255" aria-labelledby="LblTitle InstructTitle" type="text"
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Role__c" id="LblRole__c" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span><span><span> </span></span>Role:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Role__c" name="Role__c" aria-labelledby="LblRole__c InstructRole__c" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 180px;">
<option value="">* Role</option>
<option value="Consultant/Self-employed">Consultant/Self-employed</option>
<option value="Data Professional">Data Professional</option>
<option value="Engineer">Engineer</option>
<option value="Faculty">Faculty</option>
<option value="Information Security/Cyber Security Professional">Information Security/Cyber Security Professional</option>
<option value="Intellectual Property Professional">Intellectual Property Professional</option>
<option value="Librarian/Information Professional">Librarian/Information Professional</option>
<option value="Manager">Manager</option>
<option value="Open Access Administrator">Open Access Administrator</option>
<option value="Other">Other</option>
<option value="Product/Design Engineer">Product/Design Engineer</option>
<option value="Purchasing/Procurement">Purchasing/Procurement</option>
<option value="Researcher/R&D Engineer">Researcher/R&D Engineer</option>
<option value="Senior Executive (CTO, CFO, CIO, VP)">Senior Executive (CTO, CFO, CIO, VP)</option>
<option value="Student">Student</option>
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<div class="mktoClear"></div>
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<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Organizational Email:<br>
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<div class="gtx-trans-icon"></div>
</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" placeholder="* Organizational Email" maxlength="255"
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aria-required="true" style="width: 180px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction">(Work e-mail address required. Personal e-mail addresses - Gmail, Yahoo, etc- will not qualify for a trial)</span>
<div class="mktoClear"></div>
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<div class="mktoClear"></div>
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Company" id="LblCompany" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Organization Name:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Company" name="Company" placeholder="* Organization Name" maxlength="50" aria-labelledby="LblCompany InstructCompany" type="text"
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
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<div class="mktoFieldWrap mktoRequiredField"><label for="Business_Type__c" id="LblBusiness_Type__c" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Business Type:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Business_Type__c" name="Business_Type__c" aria-labelledby="LblBusiness_Type__c InstructBusiness_Type__c" class="mktoField mktoHasWidth mktoRequired"
aria-required="true" style="width: 180px;">
<option value="">* Business Type</option>
<option value="Academic">Academic</option>
<option value="Corporate">Corporate</option>
<option value="Government">Government</option>
<option value="Unaffiliated">Unaffiliated</option>
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<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Industry" id="LblIndustry" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Industry:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Industry" name="Industry" aria-labelledby="LblIndustry InstructIndustry" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 179px;">
<option value="">* Industry</option>
<option value="Academic">Academic</option>
<option value="Aerospace/Defense">Aerospace/Defense</option>
<option value="Automotive">Automotive</option>
<option value="Bio-engineering/Medical">Bio-engineering/Medical</option>
<option value="Communications">Communications</option>
<option value="Computer Hardware">Computer Hardware</option>
<option value="Computer Software & Services">Computer Software & Services</option>
<option value="Electronics">Electronics</option>
<option value="Engineering Services/Consultancy">Engineering Services/Consultancy</option>
<option value="Financial">Financial</option>
<option value="Industrial Manufacturing">Industrial Manufacturing</option>
<option value="Internet/Web Services">Internet/Web Services</option>
<option value="Lasers/Optics/Photonics">Lasers/Optics/Photonics</option>
<option value="Law Firm">Law Firm</option>
<option value="Media/Film/Broadcast">Media/Film/Broadcast</option>
<option value="Oil & Gas">Oil & Gas</option>
<option value="Other">Other</option>
<option value="Patent Office">Patent Office</option>
<option value="Pharma / Biotech">Pharma / Biotech</option>
<option value="Power/Energy/Utility">Power/Energy/Utility</option>
<option value="Robotics">Robotics</option>
<option value="Sci & Tech Research">Sci & Tech Research</option>
<option value="Semiconductor">Semiconductor</option>
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<div class="mktoClear"></div>
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<div class="mktoClear"></div>
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<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Country_Nation__c" id="LblCountry_Nation__c" class="mktoLabel mktoHasWidth" style="width: 170px;">
<div class="mktoAsterix">*</div><span style="color: #bf0000;">*</span> Country/Nation:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Country_Nation__c" name="Country_Nation__c" aria-labelledby="LblCountry_Nation__c InstructCountry_Nation__c" class="mktoField mktoHasWidth mktoRequired"
aria-required="true" style="width: 180px;">
<option value="">* Country/Nation</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua">Antigua</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Barbuda">Barbuda</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius, Saba">Bonaire, Sint Eustatius, Saba</option>
<option value="Bosnia & Herzegovina">Bosnia & Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Carriacou">Carriacou</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo (Brazzaville)">Congo (Brazzaville)</option>
<option value="Congo (Kinshasa)">Congo (Kinshasa)</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia (Federated States of)">Micronesia (Federated States of)</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Mustique">Mustique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="North Korea">North Korea</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts & Nevis">Saint Kitts & Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Sikkim">Sikkim</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Island">South Georgia and the South Sandwich Island</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Vincent">St. Vincent</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Tibet">Tibet</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad & Tobago">Trinidad & Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkiye">Turkiye</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
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<div class="mktoClear"></div>
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<div class="mktoClear"></div>
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The IEEE | Rutgers Online Mini-MBA for Engineers and Technical Professionals Program was developed to help corporate employees bridge the gap between business and engineering as they prepare for growth in their career. Enroll today and engineer your future! Learn More. This cutting-edge curriculum covers the latest trends and best practices in technical leadership, empowering learners to navigate complex challenges with confidence. Immerse yourself in a transformative learning experience through a live, 6 hour interactive training session with engaging case studies and practical exercises. Join us on this journey to becoming an influential leader in the fast-paced world of technology. Take the first step towards your future success today. Learn More. Intensive Wireless Communications Course Series, presented by IEEE Communications Society Invest in your career development and get the training you need to stay ahead of vital topics in wireless communications. 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