R1 BoG 2018 registration page R1 BoG Registration 2018 Step 1 of 6 16% Registration Type*MemberSpouseChildMember Type*Section Chair or DelegateR1 Excom MemberR1 Council, Committee Chairs and RepresentativesR1 Invited GuestSection*Select your SectionWA: BinghamtonWA: BuffaloWA: IthacaWA: RochesterWA: SyracuseCA: BerkshireCA: Green MountainCA: Mid-HudsonCA: Mohawk ValleyCA: SchenectadyCA: SpringfieldNA: BostonNA: MaineNA: New HampshireNA: Worcester CountyNA: ProvidenceSA: ConnecticutSA: Long IslandSA: New Jersey CoastSA: New YorkSA: North JerseySA: Princeton/Central JerseyWA: Western Area, CA: Central Area, NA: Northern Area, SA: Southern AreaSpouse or child name* First First name only!Member name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State PhoneMember email* Enter Email Confirm Email Hotel registrationCrowne Plaza 66 Hale Avenue White Plains, New York PLEASE DO NOT CALL THE HOTEL DIRECTLY TO BOOK THE HOTEL ROOMS FOR YOUR STAY. Region 1 will be master billing the cost of the hotel room for Friday and Saturday nights only. If asked to pay your lodging costs at check out, please remind the individual at the Front Desk that the cost for lodging is being master billed to IEEE. Attendees are responsible only for any extra charges that are billed to their room during their stay at the hotel for the meeting. Region 1 will cover the costs of the first room. Additional rooms will be billed accordingly. Arrival time : HH MM AM PM Arrival date* Date Format: MM slash DD slash YYYY Departure time : HH MM AM PM Departure date* Date Format: MM slash DD slash YYYY First room typeKing Size BedTwin double BedNoneExtra room needed?YesNoExtra rooms will not be covered by R1. We will reserve the extra room, but attendees will be required to cover the costs -- onsite.Extra room typeKing Size BedTwin double BedNoneExtra requirementshandicap accessible, extra cot, etc. Meal selection Dinner on Friday night is only for R1 Excom members. Please note, all other attendees must make their own arrangements for dinner. The region will cover 50% of the cost of meals for spouses and children for all other meals. Prices below reflect discounted costs!Friday dinner?YesNoSaturday buffet breakfast?YesNoSaturday lunch?YesNoSaturday dinner?YesNoSunday buffet breakfast?YesNoSaturday breakfast charge Price: $0.00 Saturday lunch charge Price: $0.00 Saturday dinner charge Price: $0.00 Sunday breakfast charge Price: $0.00 Total $0.00 Saturday lunch choices*Almond Almond Crusted Chicken with Orange Ginger Glaze and Jasmine RiceCrispy Skin Salmon with Sautéed Garlic Spinach and Peppadew Pepper CoulisVegetarian/Vegan (also select option)Saturday lunch optionsNoneVeganVegetarianKosherHalalSaturday dinner selections*Mahi Mahi Spicy Mango Cream, served with Jasmine rice and Yellow SquashBraised Boneless Short Ribs served over Yukon Gold Mashed Potatoes and Roasted VegetablesVegetarian/Vegan (also select option)Saturday dinner optionsNoneVeganVegetarianKosherHalal Section Chair/Delegate SurveyThe following survey will serve as a preliminary report for your Section for the BoG meeting. It will also provide guidance for the Excom in creating specific training experiences for R1 Sectional leadership. We don't expect that you will know all of the answers. Please complete the survey as best you can as part of the R1 BoG registration. You will have an opportunity to send a final report. There is sufficient lead time for you to work with your Sections in creating your final annual report.Section Vitality and ManagementIs this your first R1 BoG meeting?*YesNoHow many Excom meetings has your Section run this year?*Is your Section in an election year for officers?*YesNoHave you appointed a Nominating Committee for your Section?YesNoHas your Section conducted an audit recently?*YesNoHave you reported the outcome of the Audit to the R1 Treasurer, Bala Prasanna?YesNoDid your Section send any students to the R1 Student Conference this year?*YesNoI didn't know there was a R1 student meeting!Would your Section be interested in hosting a R1 Student Conference in the future?*YesNoMaybeHas your Section taken advantage of supplemental PACE funds provided by R1?*YesNoI didn't know I could get additional funding!R1-funded PACE ActivitiesPlease provide a short description of your R1-funded PACE activities.Is your Section in the process of establishing any new IEEE Historic Milestones?*YesNoWhat is a Historic Milestone?Section Historic MilestonesPlease provide a short description of upcoming new Section Historic Milestone. Membership DevelopmentPlease check if you know of anyone in your Section has been nominated for awards in the following:* Section Awards Region 1 Awards IEEE USA Awards IEEE Awards How many members have been elevated to Senior Members in your Section this year?*01-56-10>10I don't know.What is a Senior Member?Have you had an informational session on Senior Member Elevation in your Section this year?*YesNoWe have one planned!What is this?How many Senior members have put in an application to be elevated as an IEEE Fellow in your Section this year?01-56-10>10I don't know.What is an IEEE Fellow?Section ActivitiesList 4 of your top meetings this year! (title only)Provide one training topic you would like to learn about?*eg. vTools, IEEE OU Analytics, Section Vitality, Section leadership, Section Elections, Section Audits.Provide a second training topic you would like to learn about?Provide a third training topic you would like to learn about? Payment OptionsTotal $0.00 Payment Options*PaypalCheck body{background-color:#d0e4fe;}h1{color:blue;text-align:center;}p{font-family:"Times New Roman";font-size:20px;} All checks should be written to: IEEE Region 1. Please send checks to: Peter A. Eckstein 91 Paddington Circle Smithtown, NY 11787
