CEDA Distinguished Lecturer Request Form

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CEDA Distinguished Lecturer Request Form

Please complete the following form to request a CEDA Distinguished Lecturer at your next event. If you have questions, please contact the (Click to show email).

Organizer

Name

Affiliation

Sponsoring Chapter

IEEE Region

Section

Chapter Chair Name

Chapter Chair Email

Event Information

Lecturer Name

Lecture Topic(s)

Location of Event

Date of Event

Expected Number of Attendees

If co-organized by other IEEE OU, specify here (OU and name / contact information of Chair):

Budget

Please provide the estimated amounts (in USD) and a detailed description for the following areas:

Local Transportation
Airfare
Meals
Accommodation
Other Expenses
Co-Financing From Other Sources

Estimated Total Cost (USD)

Please provide details and estimated costs (in USD) for the request.