for an example - Institute of Electrical and Electronics Engineers

							                                                       QSIF Form


                               Institute of Electrical and Electronics Engineers
                                    Graduates of the Last Decade (GOLD)
                                                 Proposal Form
                                                                                                      Calendar Year 2000
v1.2.1
1. Project Title                                        GOLD Quick Start Initiative Funding

2. Sponsoring Section/Council/Area/Chapter                                Region 7 Vancouver Section GOLD Affinity Group
3. GOLD Project Contact                                 4. GOLD Project Alternate Contact
    Name Verona WONG                                         Name <another GOLD volunteer, if any>
 IEEE Position GOLD   Affinity Group Chair                IEEE Position

 IEEE Region 7   (Canada)                                 IEEE Region

   Address <your mailing address>                           Address



         Tel <your phone number>                                  Tel
         FAX                                                     FAX
     E-Mail <your email address>                              E-Mail
5. Project Time Frame
Start Date                                       Oct-01 End Date                                                 Dec-02
6. Statement of Objectives
   This program will encourage GOLD members of the Section to participate in IEEE activities of their interest and
    hence to increase the value of their membership to them. The program will try to bring members of all grades
                    closer to one another and show young professionals the value of IEEE membership

7. Plans for Achieving Objectives
           By providing activities of interest to GOLD members (and potentially all members) and by inviting
                                             non-members to these activities


8. How Achievement will be Measured
           At least 10% of the GOLD members in the Section attend each activity at the end of the program
                        Participants of events will comprise of members of different member grade


9. How Many Members will Benefit from this Project?                       about 100 out of 300 GOLD Members
10. Funding Requirements

               Type Of Expense                                            Amount

     1         Food and (Non Alcoholic) Drinks                                                                   $390.00
     2         Gifts for Speakers                                                                                $160.00
     3         Prizes                                                                                            $250.00
     4



                                                         Page 1
                                                       QSIF Form


11. Project Funding Sources
                     Sponsored Funds                                    Matching GOLD Funds
GOLD QSIF                                        $200.00
Region
Section                                          $300.00                                                $300.00
Chapter                                                                                                   $0.00
                                                                                                          $0.00
                                                                                                          $0.00
Sub Total                                        $500.00                                                $300.00
Project Grand Total                                                                                     $800.00

13. Project Approval
Vancouver Section Chair
Charles Henville, <member grade> <member number>                Date:                         November 16, 2001
Sponsoring Entity (from Section 2)

               After completion, send this form to:

               IEEE GOLD Program
               445 Hoes Lane
               PO Box 1331
               Piscataway NJ 08855-1331
               USA
               gold@ieee.org
               (732) 463-3657 (FAX)




                                                           Page 2
                                                   QSIF Form



Date       Event                                    Item        Expense
    Oct-01 Financial Seminar (General)              Drinks                 $20.00
                                                    Gift                   $20.00
    Nov-01 GOLD@Section’s Social Event              Door Prizes            $50.00
    Jan-02 Financial Seminar (Tax Planning)         Drinks                 $20.00
                                                    Gift                   $20.00
    Jan-02 GOLD@Student Professional Night          ---------               $0.00
    Feb-02 Survey of working environment            Prize                  $50.00
           (may extend to other GOLD Groups as
           requested by a member)
    Feb-02 Association of Professional Engineers
           and Geoscientists of BC Talk             Drinks                 $20.00
                                                    Gift                   $20.00
    Mar-02 GOLD@EMS Simon Fraser University
           MBA Seminar                              ---------               $0.00
    Mar-02 Time Management Seminar                  Drinks                 $20.00
                                                    Gift                   $20.00
    Apr-02   Financial Semianar (Mortgage & Housing)Drinks                 $20.00
                                                    Gift                   $20.00
   May-02    Intellectual Property Management Talk  Drinks                 $20.00
                                                    Gift                   $20.00
   May-02    GOLD@Section’s AGM                     Door Prizes            $50.00
   Jun-02    BBQ                                    Food                  $200.00
   Sep-02    Career Planning Seminar                Drinks                 $40.00
                                                    Gift                   $20.00
    Oct-02   Financial Semianar (Estate Planning)   Drinks                 $30.00
                                                    Gift                   $20.00
    Nov-02   Special Work Experience / Scenario     Prize                  $50.00
             (call for GOLD members input and vote)
    Nov-02   GOLD@Section’s Social Event            Door Prizes            $50.00

                                                    Total                 $800.00




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