Test EPS Continuing Education Certificates

Request your IEEE Continuing Education Certificate below. Complete the form EXACTLY as you would like the the information to appear on your certificate. By submitting this form, you attest that you have attended the course/webinar listed and that you were provided a link to this form by the course/webinar provider.

"*" indicates required fields

Certificate Information

First Name*

Middle Name

Last Name*

Email (for sending certificate)*

Webinar Host*

Year of Webinar*

Webinar Title*

Completed Date*

MM slash DD slash YYYY

Evaluation

Please indicate the extent to which you agree with the following statements.*

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
The webinar material was organized clearly and logically
The objectives of the webinar were satisfied
The technical content was appropriate to the stated level of the webinar
My knowledge on the topic increased to a level that made attendance worthwhile
The instructor's speaking voice was clear and easy to understand
The instructor clearly explained difficult concepts
The length of the webinar was about right
I will be able to apply on the job what I learned during the webinar
The ability to earn a CEUs and/or PDHs influenced my decision to attend this webinar
The webinar platform was easy to use
Based on this experience, I would participate in another Electronics Packaging Society webinar

What was the primary reason that you participated in this webinar?*

In one or two sentences, please summarize briefly what this event was about.*

What one topic from this webinar did you find most helpful to your job, and why?*

What topics were you expecting, or would have liked addressed, that were not covered?*

What is one way this webinar could be improved?*

What topics are you interested in learning about in future webinars?*

Can we follow up with you in the future regarding how this webinar may have impacted your work and career?*

Yes

Are you an IEEE member?*

Yes

IEEE Member Number

Email Preferences

I have read and agree to the IEEE Privacy Policy*

I would like to receive updates about IEEE educational offerings

Approved IEEE partners may occasionally send me email

Acknowledgment

I certify that the information provided on this form is accurate and true. I understand that submissions may be audited by IEEE at any time. Providing false and/or inaccurate information may result in revocation of education credits.*

Agree

By submitting this form, you are giving IEEE permission to contact you in order to deliver the certificate you have requested. Please note that we are required to retain a record of the personal information you submit related to this certificate for a minimum of 7 years.

Your certificate will be emailed to the address you provide within ten (10) business days. If you have any questions, please email the IEEE Continuing Education staff.

Name

This field is for validation purposes and should be left unchanged.