Submitter Information Name *
Email * Chapter *
Please select your chapter designation from the following list. If you are unsure as to what your designation is, please visit
to look it up.
Please select your chapter... Alpha Beta Beta Alpha Beta Beta Beta Chi Beta Delta Beta Epsilon Beta Eta Beta Gamma Beta Iota Beta Kappa Beta Lambda Beta Mu Beta Nu Beta Omega Beta Omicron Beta Phi Beta Pi Beta Psi Beta Rho Beta Sigma Beta Tau Beta Theta Beta Upsilon Beta Xi Beta Zeta Chi Delta Delta Alpha Delta Beta Delta Chi Delta Delta Delta Epsilon Delta Eta Delta Gamma Delta Iota Delta Kappa Delta Lambda Delta Mu Delta Nu Delta Omega Delta Omicron Delta Phi Delta Pi Delta Psi Delta Rho Delta Sigma Delta Tau Delta Theta Delta Upsilon Delta Xi Delta Zeta Epsilon Epsilon Alpha Epsilon Beta Epsilon Chi Epsilon Delta Epsilon Epsilon Epsilon Eta Epsilon Gamma Epsilon Iota Epsilon Kappa Epsilon Lambda Epsilon Mu Epsilon Nu Epsilon Omega Epsilon Omicron Epsilon Phi Epsilon Pi Epsilon Psi Epsilon Rho Epsilon Sigma Epsilon Tau Epsilon Theta Epsilon Upsilon Epsilon Xi Epsilon Zeta Gamma Gamma Alpha Gamma Beta Gamma Chi Gamma Delta Gamma Epsilon Gamma Eta Gamma Gamma Gamma Iota Gamma Kappa Gamma Lambda Gamma Mu Gamma Nu Gamma Omega Gamma Omicron Gamma Phi Gamma Pi Gamma Psi Gamma Rho Gamma Sigma Gamma Tau Gamma Theta Gamma Upsilon Gamma Xi Gamma Zeta Iota Iota Alpha Iota Beta Iota Chi Iota Delta Iota Epsilon Iota Eta Iota Gamma Iota Iota Iota Kappa Iota Lambda Iota Mu Iota Nu Iota Omega Iota Omicron Iota Phi Iota Pi Iota Psi Iota Rho Iota Sigma Iota Tau Iota Theta Iota Upsilon Iota Xi Iota Zeta Kappa Kappa Alpha Kappa Beta Kappa Chi Kappa Delta Kappa Epsilon Kappa Eta Kappa Gamma Kappa Iota Kappa Kappa Kappa Lambda Kappa Mu Kappa Nu Kappa Omega Kappa Omicron Kappa Phi Kappa Pi Kappa Psi Kappa Rho Kappa Sigma Kappa Tau Kappa Theta Kappa Upsilon Kappa Xi Kappa Zeta Lambda Lambda Alpha Lambda Beta Lambda Chi Lambda Delta Lambda Epsilon Lambda Eta Lambda Gamma Lambda Iota Lambda Kappa Lambda Lambda Lambda Mu Lambda Nu Lambda Omega Lambda Omicron Lambda Phi Lambda Pi Lambda Psi Lambda Rho Lambda Sigma Lambda Tau Lambda Theta Lambda Upsilon Lambda Xi Lambda Zeta Mu Mu Alpha Mu Beta Mu Chi Mu Delta Mu Epsilon Mu Eta Mu Gamma Mu Iota Mu Kappa Mu Lambda Mu Mu Mu Nu Mu Omega Mu Omicron Mu Phi Mu Pi Mu Psi Mu Rho Mu Sigma Mu Tau Mu Theta Mu Upsilon Mu Xi Mu Zeta Nu Nu Alpha Nu Beta Omega Omicron Phi Pi Psi Rho Sigma Tau Theta Theta Alpha Theta Beta Theta Chi Theta Delta Theta Epsilon Theta Eta Theta Gamma Theta Iota Theta Kappa Theta Lambda Theta Mu Theta Nu Theta Omega Theta Omicron Theta Phi Theta Pi Theta Psi Theta Rho Theta Sigma Theta Tau Theta Theta Theta Upsilon Theta Xi Theta Zeta Upsilon Xi Zeta Zeta Alpha Zeta Beta Zeta Chi Zeta Delta Zeta Epsilon Zeta Eta Zeta Gamma Zeta Iota Zeta Kappa Zeta Lambda Zeta Mu Zeta Nu Zeta Omega Zeta Omicron Zeta Phi Zeta Pi Zeta Psi Zeta Rho Zeta Sigma Zeta Tau Zeta Theta Zeta Upsilon Zeta Xi Zeta Zeta New York Alumni Chapter Los Angeles Alumni Chapter San Francisco Area Alumni Chapter South East Michigan Alumni Chapter College/University * Chapter Website
Please enter the URL for your chapter's website.
Role in Chapter *
Please select all of the following descriptions that best matches your role in your chapter.
Activity / Event Information Name *
Please provide the name of the event / activity.
Activity Type(s) *
Please select all of the following categories that apply to your event / activity.
Chapter Internal - Activities only open to members of your chapter.
Chapter Meeting - Regular meetings with inducted and/or potential new members.
Corporate - Events involving at least one company.
Community Outreach - Activities designed to raise the profile of your chapter on your campus or in your community.
Educational - Activities designed with an educational theme. These can be tutorials for your members or activities hosted by your members for the benefit of others (e.g. tutoring)
HKN International Society Event - Activities promoted and encouraged by IEEE-HKN including attending the annual student leadership conference, participating in HKN Founders' Day, and other related activities.
Social - Activities designed to build connections and a community within your chapter.
Service - Activities that assist your department, college, university, community, or the larger world.
Technical - Activities that involve cutting edge technology.
Is this event / activity a form of STEM outreach? *
STEM outreach includes any interaction with K-12 schools, teachers, or students (children).
Please select... Yes No Is this event / activity any of the following? *
Please check all that apply. If this is a report of an HKN Founders Day Activity, please be sure to include
at least 2 pictures
Similarly, if you are submitting a report of an induction, please be sure to
include a picture of the new inductees as well as submit the induction form
Intended Audience(s) *
Please check all audiences that this event or activity targeted for inclusion. This could mean the groups that were invited to participate or the groups that were made aware of the event / activity.
In-Person or Virtual / Remote? *
Please indicate if the activity that you are reporting took place electronically or if it involved an in-person component.
Please select... In Person Remote / Virtual Mixed Virtual and In-Person Location *
Where did you host this event / activity. If the activity was conducted electronically, please provide details for the electronic activity (e.g. WebEx, Google Hangouts, etc).
When did this event / activity take place? If it spanned multiple dates, please list the date where it started here and note the duration and frequency in the
Description of Activity field.
Date Format: MM slash DD slash YYYY
Description of Activity * Total HKN Person Hours *
Please calculate this by combining all of the sessions in this event, and then multiplying it by the total number of active IEEE-HKN participants.
If a person participated in multiple sessions, please .
all of that person's hours INCLUDE
Example: Your chapter has hosted a STEM event for students at a local elementary school. 3 members planned the event and 10 members visited the school and worked with elementary students. The planning took 5 hours and the event itself lasted for 2 hours.
In this example, you would enter 35 as the Total HKN Person Hours (3 people * 5 planning hours + 10 people * 2 event hours = 15 + 20 = 35 hours).
Example 2: Your chapter hosts a seminar with a company. You create a flyer to distribute on campus (this takes 1 hour). 5 members of your chapter (inducted members as well as candidates) spend an hour each distributing flyers. 50 people attend the corporate session. Of the attendees, 7 are members of your chapter (inducted members as well as candidates).
In this example, you would enter 13 as the Total HKN Person Hours (1 person creating the flyer * 1 hour + 5 people distributing the flyer * 1 hour + 7 people attending the event * 1 hour long event = 13 hours.) How Many HKN-affiliated people were impacted by this event / activity *
Impacted can mean: attended / participated in the planning or execution of the event / activity
OR otherwise benefited from the event / activity.
Affiliates include HKN candidates, Members and Alumni. How Many non-HKN people were impacted by this event / activity *
Impacted can mean: attended / participated in the planning or execution of the event / activity
OR otherwise benefited from the event / activity. How many companies were impacted by this event / activity *
Impacted can mean: attended / participated in the planning or execution of the event / activity or otherwise benefited from the event / activity.
If the number of companies impacted by this event is non-zero, please list the impacted companies here and provide a brief (1 - 2 sentence) description of the nature of their involvement / impact.
Is this a joint event / activity with an IEEE Student Branch? * Please select... No Yes Cost per person Please list any External organizations or Resources that were involved in the planning or execution of the activity or event: Post-Event Report *
Please reflect on your activity / event and note its successes and areas for improvement if it were to be hosted again.
Nominate this activity / event as a successful practice *
yes, your event will be reviewed by the HKN Ritual Committee and you will be contacted by a member of the committee. After a discussion, and potential revision to ensure that all necessary information is included, aspects of this report may be shared with other chapters. Please select... Yes No By checking this box, I attest that I have permission to submit these pictures / files including the consent of any individual portrayed therein. I grant IEEE-HKN permission to use these pictures for purposes related to IEEE-HKN.
If you do not check this box, we will be unable to consider your activity / event for inclusion as a successful practice.
Please upload any relevant files related to this event / activity
These files should include any flyers and/or emails used to advertise the event / activity, pictures from the event / activity, Powerpoint presentations used at the event / activity, etc.
Please include any / all pictures taken of the event in addition to other relevant files Attached File Descriptions *
Please provide a one or two sentence description of each file attached to this report.
Please also include links to any social media posts about this activity / event.
If you aren't attaching any files and you don't have any social media posts to link, please enter N/A in this field.