IEEE

IEEE STUDENT BRANCH
A N N U A L R E P O RT O F A C T I V I T I E S
___________ACADEMIC YEAR
DUE DATE:
1 MAY

SCHOOL NAME: ____________________________________________________________SCHOOL CODE
ADDRESS:
City
State/Country
Code BRANCH
E-MAIL ADDRESS: _________________________________________
BRANCH ORGANIZATION:

CURRENT YEAR

From_________To__________
Branch Chairperson Telephone
Other Officers (include titles)

Student Branch Counselor __________________________________ Telephone
FAX No.
EMAIL Address
Branch Mentor

Postal/Zip

NEXT YEAR

From_________To__________

Include such activities as technical meetings. NJ 08855-1331.) MEETINGS (1) TECHNICAL (including Speakers. your Branch is entitled to a $2. Prepared by:___________________________________Branch Office Held_____________________Date______________ Received and Approved by:__________________________________________________ Student Branch Counselor Date Student Branch Chairperson Date PLEASE NOTE: Contingent upon timely receipt of this report. Additional copies of the Report shall be maintained in Branch files as permanent records. Date Filed: _____________ Date Mailed: ____________ TRANSMITTAL: We have examined this Report and to the best of our knowledge believe it to be true. etc. Describe events briefly. Panel Discussions and Plant Tours) __________________________________________________________________________________ __________________________________________________________________________________ _____________________________________________TOTAL ___________ (1) PROFESSIONAL (including S-PACS) __________________________________________________________________________________ __________________________________________________________________________________ _____________________________________________TOTAL ___________ (1) SOCIAL ACTIVITIES (fund raising events. *IEEE Student Services/445 Hoes Lane/PO Box 1331/Piscataway. Please provide total number of meetings in each category in the space provided below.00 per member rebate based on membership statistics as of 31 December. S-PAC’s and other professional activities. complete and correct. dances. panel discussions or speakers. or even social meetings and fund-raising events. (Use additional sheets as necessary. The information you provide will enable both Headquarters and the Regional Student Activities Committee Chairman to gain valuable insight into your Student Branch and its progress.org: Fax: (732) 463-9359 BRANCH ACTIVITIES REPORT Describe below activities sponsored by your Student Branch. pizza parties.) __________________________________________________________________________________ __________________________________________________________________________________ _____________________________________________TOTAL ___________ .SCHOOL OFFICIALS: (Please Print or Type Full Names and Titles) Department Chairman Dean DISTRIBUTION: This report is to be submitted to IEEE Student Services* and to your Region and Section Student Activities Committee Chairmen no later than 1 May. special tours. E-Mail: student-services@leee. This record of your activities will also be of use to succeeding officers in organizing their programs.

(5) Other. (2) professional. (3) social. sponsored dinners. sponsoring any Section/Branch joint activities? Provide details: ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ RECOMMENDATIONS: Have you received assistance or information from these sources? (Please identify and explain) Student Branch Counselor _______________________________________________________________________________________ __________________________________________________________________________________________________________________ Department Chairman _______________________________________________________________________________________ __________________________________________________________________________________________________________________ Section _________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Regional Student Activities Committee Chairman _____________________________________________________________ __________________________________________________________________________________________________________________ . setting up a Branch e-mail address. etc. etc.(2) ACTIVITIES HELD JOINTLY WITH LOCAL SECTION (mentor programs.) __________________________________________________________________________________ __________________________________________________________________________________ _____________________________________________TOTAL ___________ SUMMARY: Please provide the total number of meetings in the following categories: (1) technical meetings. Do not include Department-sponsored seminars or talks. sponsored by your Branch. day with an engineer. Student Paper Contest. Branch project. or business and planning meetings.Is your Branch planning technical or professional activities. 12/31 HQ printout) STUDENT BRANCH ASSESSMENT: Future Plans -. etc.) __________________________________________________________________________________ __________________________________________________________________________________ _____________________________________________TOTAL ___________ (1) OTHER ACTIVITIES (including projects like Careers Day. TOTALS: (1)__________ (2)__________ (3)__________ (4)__________ (5)__________ Average number of Student participants ___________ Total Branch Membership ___________ (ref. (4) joint activities.

1 JANUARY.DECEMBER 31. _________ INCOME RECEIVED DURING ________ Headquarters Rebate $_______________ Headquarters Allotment $_______________ All other Receipts* (itemize below) $_______________ Total Receipts $_______________ *Itemize All Receipts (Use additional sheets if necessary) _____________________________________________________________________ $_______________ _____________________________________________________________________ _______________ _____________________________________________________________________ _______________ _____________________________________________________________________ _______________ Total $_______________ EXPENSES PAID DURING ________ Meeting Expenses $_______________ Publication Expenses $_______________ All other Expenses** (itemize below) $_______________ Total Expenses $_______________ **Itemize All Expenses _____________________________________________________________________ $_______________ _____________________________________________________________________ _______________ _____________________________________________________________________ _______________ _____________________________________________________________________ _______________ Total $_______________ EXCESS (OR DEFICIT) INCOME RECEIVED OVER EXPENSES PAID $_______________ TOTAL CASH AND OTHER ASSETS .) TOTAL FUNDS ON HAND -.pmd . ________ $ ______________________________________________________________________ ___________________ Student Branch Chairperson Date ______________________________________________________________________ ___________________ Student Branch Counselor Date 05/10/05 st annual report.Regional Student Representative _______________________________________________________________________________ __________________________________________________________________________________________________________________ Regional Director ________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Student Services at Headquarters _______________________________________________________________________________ __________________________________________________________________________________________________________________ SPAC Committee ________________________________________________________________________________________________ __________________________________________________________________________________________________________________ How can we help you to improve? ______________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ FINANCIAL STATEMENT (Dates given conform with IEEE calendar fiscal year policy.