IEEE Certificates Program Application - IEEE Innovation at Work

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IEEE Certificates Program Application

Thank you for your interest in offering IEEE Certificates for your learning events. In order to comply with program requirements, IEEE requires detailed information about organizations that wish to offer these certificates. Please fill out the application below with information about your organization and educational offerings. An IEEE Certificates Program Administrator will be in touch with you to discuss your application..

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Organizational Data
Organization Name*
First Name*
Last Name
Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Website
Please provide your organization's social media channels, if applicable:

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Background Information
Please provide a brief description of your organization, including your Mission Statement.*
Continuing Education Student Body Size*
Type of Business*
How many years has your company been in business?
Target Market*
Geographic Focus*
Please list all affiliates, subdivisions, and groups from your organization that will be participating in the program.*

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Which IEEE Field(s) of Interest does this course or program supplement or complement?
Please check all IEEE Fields of Interest that apply.*
- Aerospace
- Antennas & Propagation
- Broadcast Technology
- Circuits & Systems
- Communications, Telecommunications
- Components, Packaging & Manufacturing Technology
- Computational Intelligence
- Computer
- Consumer Electronics
- Control Systems
- Dielectrics & Electrical Insulation
- Electromagnetic Compatibility
- Electron Devices
- Engineering in Medicine & Biology
- Engineering Management
- Geoscience & Remote Sensing
- Image & Signal Processing
- Industrial Electronics
- Industry Applications
- Information Theory
- Instrumentation & Measurement
- Intelligent Transportation Systems
- Lasers & Electro-Optics
- Magnetics
- Microwave Theory & Techniques
- Nanotechnology
- Nuclear & Plasma Sciences
- Oceanic Engineering
- Power Engineering/Power Electronics
- Product Safety Engineering
- Professional Communications
- Reliability
- Robotics & Automation
- Sensors
- Signal Processing
- Social Implications of Technology
- Solid State Circuits
- Super Conductivity
- Systems, Man & Cybernetics
- Ultrasonics, Ferroelectrics & Frequency Control
- Vehicular Technology
- Other
If "Other," please describe.
Is your institution accredited by a professional credentialing organization?*
- Yes
- No
If "Yes," please specify accrediting body.*
Do you currently have, or have you ever had, a relationship with IEEE?*
- Yes
- No
If "Yes," please describe.*

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Instructional Data
What type of Courses or Programs do you offer?*
Please provide a Web URL with navigation instructions for locating the specific offerings you wish to make available through IEEE. (Please provide multiple URLs if needed.)*
How will these offerings be presented? (Check all that apply)*
- Online
- In-Person/Classroom
- Blended
Please select the languages in which these offerings are available.*
- English
- Spanish
- Chinese
- Other
If "Other," please specify language(s).*
Can students interact directly with the professor or presenter?*
- Yes
- No
If "Yes," please specify how students can interact with the instructor.
- Face-to-Face
- Online Chat
- Video Conference
- Group Message Board
- Email
- Phone
Who are your primary competitors, and how do your offerings compare and contrast with theirs?*
Are there supplemental materials (books, papers, videos, CDs, DVDs, websites, etc.) for your offerings?*
- Yes
- No
If "Yes," please select all supplemental materials available.*
- Books
- Papers
- Videos
- CDs
- DVDs
- Websites
- Other
If "Other," please specify.*

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Biography #1*
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.
Biography #2
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.
Biography #3
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.
Course Description #1*
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.
Course Description #2
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.
Course Description #3
Accepted file types: doc, pdf, docx, Max. file size: 50 MB.

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Professional Development
Please describe the target audience for your trainings.*
Describe how this offering benefits your intended audience.*
Does this offering help professionals prepare to meet or maintain a certification or licensure?*
- Yes
- No
How did you hear about IEEE Credentials?*
- Google/Web Search
- LinkedIn
- IEEE Website
- IEEE Member/Friend
- IEEE Conference
- IEEE Newsletter
- Other
If "Other," please specify.*
*
- I have read and accept the IEEE Privacy Policy

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