IEEE Photonics Speaker & Volunteer Database Sign-Up Form To grow our community, the IEEE Photonics Diversity Committee has created a speaker database where members and volunteers can actively sign up and be called upon to serve within their technical and/or professional subject areas. Chairs and volunteer leaders use this database to recruit for invited talks, keynotes, panels, news stories, and councils.Complete the intake form below to sign-up. Question Title * 1. Applicant Information Name Affiliation/University Address City/Town State/Province ZIP/Postal Code Country Email Address Question Title * 2. Are you an IEEE Photonics Member? (Membership not required to sign-up.) Yes No Question Title * 3. Indicate Grade: Undergrad Student Graduate Student Post Doc Member Senior Member Fellow Life Fellow Life Member Life Senior Member Other (please specify) Question Title * 4. Do you currently volunteer with the IEEE Photonics Society? Yes No Question Title * 5. In what capacity do you volunteer? Question Title * 6. Interested in volunteering? Yes No Question Title * 7. What is your scientific discipline or technical areas of expertise? Question Title * 8. Current professional position title: Question Title * 9. Choose Interests: Deliver a Lecture Conduct a Webinar or MOOC Join a Panel Keynote Talks Speak to Journalist Career & Professional Development Outreach Volunteer Conference Volunteer Publications Volunteer Community Outreach Humanitarianism Other (please specify) Question Title * 10. Short statement from applicant describing photonics research interests and/or accomplishments in the field to date. (200 words or less) If you have any questions regarding this program, contact Lauren Mecum, Community Outreach & Development Manager, at l.mecum@ieee.org for more information. Submit