UCLA Electrical Engineering Department
2017 Annual Research Review  
 

2017 UCLA EE Department Annual Research Review
Friday, April 21, 2017

To better accommodate you at the Review, please submit the following form:

Registration closes at the end of Monday, April 17, 2017.

Please note that to successfully register, all fields with * MUST be completed.


First Name *

Last Name *

Email Address *

Affiliation

Industry EE Partner Federal Employees
Faculty Student
EE Alumni Staff

Company / Institution

Your Title
Division
Business Address Line
City
State
Zip Code
Country
Business Phone Number Area Code: Number:

Do you plan to attend the Annual Research Review Luncheon? *

Yes No
Meal Preference: * Vegetarian Standard

Do you plan to attend the Annual Research Review Dinner? *

Yes No
Meal Preference: * Vegetarian Standard

Will you need a parking permit? *

Yes No