1. How many years have you been a member of
a) IEEE: 0-1 2-5 6-10 11-15 16-25 26-35 36 or more
b) Toronto Section: 0-1 2-5 6-10 11-15 16-25 26-35 36 or more
2. Have you been active in IEEE Section or Chapter or Technical Society activities? (Check the appropriate box for each item by clicking on the selection and select tick)
3. In your opinion, how valuable are the following Section activities and services? (Check the appropriate box for each item.)
4. How far would you travel one way to attend one of the above functions? Note that majority of meetings have been held down town Toronto (Check only one box)
0 - 20 km
21 - 40 km
41 - 50 km
51 - 60 km
More than 60 km
5. Is location close to TTC line important to you? (Check one box)
6. When would you want the meetings to be held? (Check only one box)
Monday Friday Days
Monday Friday Evenings
Monday Friday Lunchtime
Weekends
Specify
7. How many times a year do you think you would attend one or more functions listed above in Item 6?
times a year
8. Would you volunteer to help serve the Toronto Section? (Check only one box)
Yes
No (skip question 9 and go to 10)
9a. How many hours per month would you be able to help your section?
(Check only one box)
1 - 5 hours
6 - 10 hours
11 - 20 hours
21 or more hours
9b. Would you be interested in serving in any of the following capacities?
(Check all boxes that apply)
Section Officer
Committee Chair
Technical Program Organizer
Social Program Organizer
Committee Contributor
9c. Please provide the following contact information.
Name
Address
Telephone number (home) (business)
Fax number
Email address
10. Please add any additional comments you feel would be helpful.