IEEE Membership Discount Request

Use this form to request a 10% discount off tuition if you are an IEEE member. IEEE membership account number must be provided. Tuition will be adjusted with the discount after your membership is verified via IEEE. Use the submit button to send the form to CAETE.

Contact Information

Last Name: *

First Name: *

Middle Initial: *

Street Address: *

City: *

State: *

Zip Code: *

IEEE Membership Number: *

CU SID# (if applicable):

Apply Discount to these Courses

Semester: *

Year: *

1st Course: Number and Title: *

2nd Course: Number and Title:

3rd Course: Number and Title:

Certificate Information

Are you taking the course(s) above toward a graduate certificate in the Engineering Management Program?: *

Yes

No

If yes, indicate the certificate name:

CAETE Office Use Only

Date Membership Verified:

Discount:

Approved

Not Approved

Date Discount Adjustment Requested:

Date Student Contacted:

Staff Initials: