IES Section Slate Form - Illuminating Engineering Society

Step 1 of 4

Program Year: 2023-2024

SECTION DETAILS

Section Name

Section Website

District Chair

Form Completed By

First Last

Section Main Email

Enter Email Confirm Email

Section Contact

First Last

Section Mailing Address

(Section mailing addres or address associated with Section bank account)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SECTION OFFICERS

PRESIDENT

First Last

IES MEMBER ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

VICE PRESIDENT

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SECRETARY

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

TREASURER

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PAST PRESIDENT

First Last

IES Member ID#

Phone

ADVISORY BOARD MEMBERS

Name

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

IES Member ID#

Phone

Preferred Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SECTION CHAIRS

Education Chair

First Last

IES Member ID#

Phone

MEMBERSHIP CHAIR

First Last

IES Member ID#

Phone

PROGRAM CHAIR

First Last

IES Member ID#

Phone

ILLUMINATION AWARDS CHAIR

First Last

IES Member ID#

Phone

SECTION OFFICER NOMINATING CHAIR

First Last

IES Member ID#

Phone

PUBLIC RELATIONS/RECOGNITION CHAIR

First Last

IES Member ID#

Phone

WEBMASTER

First Last

IES Member ID#

Phone

SUSTAINING MEMBERSHIP CHAIR

First Last

IES Member ID#

Phone

EMERGING PROFESSIONALS CHAIR

First Last

IES Member ID#

Phone