Application for CONAC Seed Funding

Conference Information
Conference Name:
Location:
Date(s):
Industry Exhibits (Y/N):
Estimated Attendance:
Seed Funding Information
Amount being requested from IEEE:
Represents portion (%) of the total sponsorships:
Organizer Information
Host Society:
Host Section:
Other IEEE entities involved:
Other non-IEEE entities involved:
Conference Chairperson:
Finance Committee Chairperson:
Address of Conference Correspondence:
Telephone:
Your (the Requester) Information
Name:
Address:
Conference Position:
Telephone:
Signature (and Date):

Submission: Print and send a copy of this form to the CONAC Chair.

Attachments Required: