Committee Interest Form

Complete and return the following form of interest and the confirmation that you will comply with the IAEE Conflict of Interest Policy.

You will be notified by e-mail once your request is received and processed.

* Required Fields

First Name*

Last Name*

Your Email*

Member ID

Select your first committee choice:*

Why are you interested in this committee?

Describe how your skills will benefit this committee.

Select your second committee choice:*

Why are you interested in this committee?

Describe how your skills will benefit this committee.

Select your third committee choice:*

Why are you interested in this committee?

Describe how your skills will benefit this committee.

List the committees you currently or have served on at the IAEE Chapter level.

Do you serve on any other industry committee (i.e. ASAE, DMAI, MPI, PCMA, etc.)?*

If Yes, please detail the industry(s) and committee(s) served:

I acknowledge that I have read and understand the Conflict of Interest Policy and Affirm Compliance with the policy. Any member who agrees to participate in a committe must read and understand the Conflict of Interest Policy.