IEEE Continuing Education Evaluation Form - IEEE VTS Philadelphia Chapter

Course Title(Required)

Date(Required)

Instructor Name(Required)

Participant Name(Required)

As wish to be shown on certificate

Email(Required)

Certificate sent to this email address

Please indicate the extent to which you disagree or agree with the following statements:

The following course assessment must be completed in order to qualify for your PDH Certificate.

Please list two major topics from this course:(Required)

What one topic from this course did you find most helpful to your job and why?(Required)

What was the primary reason that you took this training?(Required)

Briefly summarize what this course was about in one or two sentences.(Required)

IEEE Member No.(Required)

In order to receive an IEEE PDH certificate, please submit this form within 3 days after the event. Payment must be made when registering for class using IEEE vTools.

IEEE Continuing Education Course Evaluation