IEEE Technical Committee Membership Application


Please print clearly or type.

First (Given) Name:

Middle Name:

Last (Family) Name:

Suffix:
Prefix (Dr./Mr./Mrs./Ms./Miss/Prof.):


Preferred Address (Work or Home):

__________________________________________________________________________


Company/Organization:
Office Street Address  (Please use street addresses over P.O.):


City:			

State/Province:		

Postal Code:
Country:


Office Phone(s):

Office Fax(ex):
Email Address(es)(Internet accessible):		

Web Address(es):
__________________________________________________________________________

Home Address (optional):

City:			

State/Province:		

Postal Code:

Country:



Home Phone(s):					

Home Fax(es):
__________________________________________________________________________
Enter IEEE Member Number:

[ ]I am a member of the Computer Society
Please Note: Only current Computer Society members are eligible to receive Technical Committee newsletters.
____Check here if you DO NOT want your name included on shared mailing lists.


PLEASE SELECT UP TO FOUR OF THE FOLLOWING: (Only the first four you select will be recorded.)
TECHNICAL COMMITTEES


[ ]TCCX - Complexity in Computing
[ ]TCCM - Computational Medicine 
[ ]TCCA - Computer Architecture
[ ]TCCC - Computer Communications   
[ ]TCCE - Computer Elements
[ ]TCCGM - Computer Generated Music
[ ]TCCG - Computer Graphics    
[ ]TCCL - Computer Languages   
[ ]TCCP - Computer and System Packaging
[ ]TCDE - Data Engineering 
[ ]TCDA - Design Automation
[ ]TCDP - Distributed Processing
[ ]TCECBS - Engineering of Computer Based Systems
[ ]TCFT - Fault-Tolerant Computing
[ ]TCMS - Mass Storage Systems 
[ ]TCMF - Mathematical Foundations of  Computing
[ ]TCMARCH - Microprogramming and Microarchitecture
[ ]TCMM - Microprocessors and Microcomputers
[ ]TCMC - Multimedia Computing
[ ]TCMVL - Multiple Valued Logic
[ ]TCOS - Operating Systems and Application Environments
[ ]TCPP - Parallel Processing
[ ]TCPAMI - Pattern Analysis and Machine Intelligence
[ ]TCRT - Real-Time Systems
[ ]TCSP - Security and Privacy
[ ]TCSIM - Simulation
[ ]TCSA - Supercomputing Applications
[ ]TCTT - Test Technology
[ ]TCVLSI - VLSI


TECHNICAL COUNCILS

[ ]TCSE-Software Engineering (IF TCSE IS SELECTED AS ONE OF YOUR 4 TCs, 

you may join as many TCSE Committees below as you like.)

	( )TCSE EDUC - Software Education
	( )TCSE EURO - TCSE Europe
	( )TCSE MGMT - Software Management
	( )TCSE PROC - Software Process
	( )TCSE PROF - Task Force on Software Engineering Profession
	( )TCSE QUAN - Quantitative Methods
	( )TCSE RELI - Software Reliability Engineering
	( )TCSE REUS - Reusability (ReNews-requires email)
	( )TCSE RVRS - Reverse Engineering
	( )TCSE SESC - Standards
	( )TCSE TCHX - Technology Transfer
TASK FORCES
[ ]TFDL - Digital Libraries
[ ]TFYF - YUFORIC (Youth Forum in Comp. Science & Engineering)

___________________________________________________________________
Please Send Form To:
k.neal{at}computer.org

IEEE Computer Society
1730 Massachusetts Ave, NW
Washington, DC 20036-1992
Phone: (202) 371-0101
FAX: (202) 728-9614