Senior Member Application Form

• To qualify for the Nominate A Senior Member Initiative, the following fields have to be filled in completely including the entity to be credited for the nomination.

• If the nominator is a Senior Member or Fellow, this serves as one reference and the nominator does not need to complete a reference form. It is, however, to the benefit of the applicant if a reference form is received from the nominator as well.

• A nominating entity MUST BE a SECTION or SOCIETY AND NOT a Chapter or Council. If a Chapter is entered as the nominating entity, the Section to which the Chapter belongs will be given the credit.

• A nomination can also be submitted without identifying a nominating entity

• Please list ten years or more of professional experience , which can include up to a maximum of five years for educational experience.
• We encourage you to include your resume with your application. You may send your resume to us as an e-mail attachment to senior-member@ieee.org or you may fax your resume to +1 732 562 6528, ATTN: Denise Howard.
• Without a resume, there may not be sufficient information for the A&A panel to make a favorable decision which could result in your application being denied or deferred. Please indicate it is for Senior Member Elevation and that you have submitted your elevation form via the web.

• List demonstrated significant performance over a period of at least five years.
• Please provide a list of achievements including dates (required)
• Normally, significant performance focuses on professional experience during the period following educational experience.

• Give names and member numbers (if known) of three current Senior Members, Fellows or Honorary Members you are submitting as references.
• You are responsible for contacting these references. Each referee must send a note of recommendation directly to IEEE, preferably using the Senior Member Reference Form.
• Your professional colleagues are your best source of these references. If you have difficulty in locating Senior Members, Fellows or Honorary Members to serve as references you have two options.

Option 1
Follow these simple steps to search for Senior or Fellow members using IEEE memberNet, the IEEE online member directory:

1. Log into myIEEE.
2. Enter your user name and password.
3. Select "Launch Network" from the memberNet section in the upper right hand corner.
4. First select "Fellow" and "Senior Member" from the Member Grade list and click the add button. (Be sure to also include Life Senior and Life Fellow to strengthen your search.)
5. Add Technical Interest Profile(s) and/or Country(s) to complete your search.
6. When ready select the search button.

For more information about the IEEE Membership Directory visit the benefit page.

Option 2
Contact the Section or Chapter Chair for assistance in finding qualified references. For assistance in contacting your Section/Chapter Chair, e-mail Denise Howard at: senior-member@ieee.org.

The applicant is responsible for contacting his/her references. Referees must send a brief note of recommendation directly to IEEE, preferably using the Senior Member Reference Form. If the applicant is being nominated by a Senior Member or Fellow, TWO OTHER references are required.

Submittal of a reference form does not by itself constitute a nomination. In order for a nomination to be processed as such, the nomination section of the application form has to be filled in, with or without a nominating entity. However, if you wish your Section or Society to receive a rebate of $10 for each successful nomination as part of the Nominate a Senior Member Initiative, the Section or Society's name must be provided.

• While only three references are required, applicants wishing to submit four references may do so.
• If the applicant is being nominated by a current Senior Member or Fellow, only two references need be submitted. 
• Submittal of a reference form does not by itself constitute a nomination. In order for a nomination to be processed as such, the nomination portion above has to be filled in, with or without a nominating entity. However, if you wish your Section or Society to receive a rebate of $10 for each successful nomination as part of the Nominate a Senior Member Initiative, the Section or Society's name must be provided.