IEEE MTT-S Affinity Group Event/Project Support

IEEE MTT-S Affiliate Event/Project Support
Concur Approval Code
IDENTIFY YOURSELF

Please enter your contact information here.
Name:*

First NameLast Name
Email:*
example@example.com
IEEE Membership ID:*
I want to join the related MTT-S WhatsApp group (optional).
WhatsApp Number:
EVENT / PROJECT DESCRIPTION

Please provide details of your proposed event or project here.
Funding Program:*
Title of Event or Project:*
Location Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Starting Date:*

MonthDayYear
Date
Duration:
e.g. 4 hours, 5 days, 2 weeks, 3 months
Number of Participants:*
Number of MTT-S Participants:*
Detailed Budget or Sponsor Package:*
Provide a detailed list of all cost items.
Technical Details:*
Events: Provide program including organizers, speakers, and timeline. | Projects: Explain objectives, work packages, timeline, outcome and funding necessity.
Supporting Material:

In case of large file size, you can add a Google Drive link in the Technical Details section instead.
Cancelof
I will promote this event/project via MTT-S LinkedIn page and vTools Events.
I will submit a report within 6 weeks or prior to reimbursement.
BANKING INFORMATION
Amount Requested in USD:*
Amount Approved in USD:
Hidden field to be filled out by approver.
Funding Type:*

Concur Reimbursement of Travel / Other ExpensesBank Transfer of Funding / Sponsorship
Concur Reimbursement of Travel / Other Expenses

Travel cost and other expenses (refreshment, merchandise, etc.) will be reimbursed to the bank account of the individual recipient entered below. The following rules apply:
- Reimbursement needs to be performed via Concur be in accordance with current Expense Reimbursement Guidelines for IEEE volunteers (check for updates).
- Your approval code has to be entered as the name of your Concur report.”
- The Concur Expense Report Purpose is: Technical Activities Societies – Microwave Theory & Technique – MGA WiM Sight Life – MGAIN
- Conference registration fees may not be reimbursed
- Expenses must be submitted within 60 days after they were incurred. Travel expenses must be submitted within 60 days of travel or the date of the event.
Recipient Full Name:*
Recipient Email:*
example@example.com
Bank Transfer of Funding / Sponsorship

Funds MUST be payable to an IEEE-approved Chapter/Section/Conference bank account and may not be payable to individuals. Funding of events related to an IEEE financially-sponsored conference must be transferred directly to the conference account and will be processed as a non-repayable loan upon presentation of proper receipts.
Bank Account Type:*

IEEE Chapter/SectionIEEE Conference
IEEE Chapter/Section
Chapter Name:*
Enter Exact Name
Chapter Geocode:*
Begins with "CH" or "SBC"
Section Name:*
Section/Subsection Your Chapter Belongs To
IEEE Region:*
Region Your Chapter is Located in
Chapter Contact Full Name:*
Must be a Chapter Officer
Chapter Contact Email Address:*
example@example.com
IEEE Conference
Conference Name:*
Conference Contact Full Name*
Must be a Steering Committee Member
Conference Contact Email:*
example@example.com
Bank Transfer Method:*

Concentration Banking (CB) TransferACH / Wire Transfer
CB Account Name:*
CB Account Number (HOP):*
This is a 6-digit number
Bank Account Holder:*
Bank Account # (US) or IBAN:*
ABA # (US) or SWIFT / BIC:*
Bank Name:*
Bank Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
IFSC#:*
MICR#:*
I agree to the IEEE Privacy Policy
For questions/issues concerning this form, please email a.vanorden@ieee.org
Should be Empty:

IEEE MTT-S Affiliate Event/Project Support

IDENTIFY YOURSELF

EVENT / PROJECT DESCRIPTION

BANKING INFORMATION

IEEE Chapter/Section

IEEE Conference