IEEE Microcredentials Application - IEEE Credentialing Program

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Section 1: Applicant Contact Information

1. Organization Name:(Required)

2. Contact's First Name/Last Name:(Required)

3. Contact's Title:

4. Organization's Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

5. Contact's Phone:(Required)

6: Contact's Email:(Required)

Section 2: Organization's Background Information

1. Website Address of Organization:(Required)

2. Website Address - if applicable- of Skills-Based Microcredential (Optional)

3. Please provide a brief description of your organization:(Required)

4. Type of Organization(Required)

5. Organization's Mission Statement:(Required)

6. How many years has your organization been in business?(Required)

7. Which IEEE Field(s) of Interest does the credential address? Please select all that apply.(Required)

Aerospace

Antennas & Propagation

Broadcast Technology

Circuits & Systems

Communications, Telecommunications

Components, Packaging & Manufacturing Technology

Computational Intelligence

Computer

Consumer Electronics

Control Systems

Dielectrics & Electrical Insulation

Electromagnetic Compatibility

Electron Devices

Engineering in Medicine & Biology

Engineering Management

Geoscience & Remote Sensing

Image & Signal Processing

Industrial Electronics

Industry Applications

Information Theory

Instrumentation & Measurement

Intelligent Transportation Systems

Lasers & Electro-Optics

Magnetics

Math

Microwave Theory & Techniques

Nanotechnology

Nuclear & Plasma Sciences

Oceanic Engineering

Power Engineering/Power Electronics

Product Safety Engineering

Professional Communications

Reliability

Robotics & Automation

Semiconductor

Sensors

Signal Processing

Social Implications of Technology

Solid State Circuits

Super Conductivity

Systems, Man & Cybernetics

Ultrasonics, Ferroelectrics & Frequency Control

Vehicular Technology

Other

8. Is your organization accredited by a professional credentialing organization or accreditation?(Required)

Yes

If yes, please name the organizations:

9. Does your organization currently have, or has it ever had, a relationship with IEEE?(Required)

Yes

If "Yes," please describe.

10. Please describe or upload evidence of the organization's registration with or approval by state or national education or training authority.

Upload of organization's registration (Optional)

Max. file size: 128 MB.

11. Estimated number of learners who may earn this credential? (Annually)

Section 3: Skills Based Microcredential Subject Matter Expertise

In this section, please list the names and titles of the people involved in designing, instructing, and/or assessing the learners who will be earning the skills-based microcredential.

1. Name/Title of Microcredential #1:(Required)

1a. Name and Title of Credential Designer: (If different than the instructor)

Please add course designer name if different than instructor. If not applicable, then leave blank.

Copy of CV/Biography for Designer

Max. file size: 128 MB.

(Required if different than instructor).

Please share any other evidence of their credentials: website, digital portfolio, and/or LinkedIn profile.

2b. Name and Title of Instructor/Facilitator:(Required)

Copy of CV/Biography of Instructor/Facilitator:(Required)

Max. file size: 128 MB.

Please share any additional evidence of their credentials: website, digital portfolio, and/or LinkedIn profile.

3. Name and Title of Assessor (if applicable)

Please include names of skill assessors if different than the instructor.

Copy of Assessor CV/Resume

Max. file size: 128 MB.

Please share any other evidence of their credentials: website, digital portfolio, and/or LinkedIn profile.

Section 4: Skills-Based Microcredential Information

1. Name of Skills-Based Microcredential:(Required)

2. Skills-Based Microcredential Description:(Required)

3. Does or will this skills-based microcredential stack to other skills-based microcredentials that your organization offers or plans to offer in the future?

Yes

Not sure yet

If yes, please describe:

4. Please upload the Skills-Based Microcredential syllabus, assessment guide, instructional guide, or any other relevant descriptive documentation:(Required)

Drop files here or

Max. file size: 128 MB.

5. What level of learning does the Skills-Based Microcredential assess? For more information, please refer to the Skills-Based Microcredential Guidance for Training Providers. Please select only one.(Required)

Level 1: Foundational Knowledge (Comprehension)

Level 2: Skills Applied in Practice (Proficiency)

Level 3: Abilities (Mastery)

For more information, please refer to the Skills-Based Microcredential Guidance for Training Providers.

6. What are the specific learning outcomes, competencies, or skills learners will need to demonstrate to earn the skills-based microcredential?(Required)

7. Please identify the specific performance standards, achievements, and/or expectations for learners to be able to earn the skills-based microcredential?(Required)

8. Please describe and/or upload evidence of how the competencies or skills align with industry expectations?(Required)

Upload Files (Optional)

Drop files here or

Max. file size: 128 MB.

9. Please describe and upload the learning assessments that the skills-based microcredential uses to assess student learning and competency:(Required)

Upload Files (Assessments)(Required)

Drop files here or

Max. file size: 128 MB.

10. Please describe skills-validation methodologies that the skills-based microcredential uses to validate learners' performance of intended skills - including how and when skills validation occurs and who validates skills?(Required)

Upload Example(s)

Max. file size: 128 MB.

11. Please describe if - or how - industry partners and/or employers are involved in the design, development, or offering of the skills-based microcredential?(Required)

Upload File(s) (Optional)

Max. file size: 128 MB.

12. How will these offerings be presented? (Check all that apply)(Required)

Online

Classroom (In Person)

Working Lab Setting

Blended (Lab and Classroom)

Self-Directed

Simulation

Other

12a. If other, please describe:

How did you hear about IEEE Credentials?(Required)

Google/Web Search

LinkedIn Ad

IEEE Website

IEEE Member/Friend

IEEE Employee

IEEE Conference

IEEE Newsletter

Other

If "Other," please specify.(Required)

Payment & Submission

To complete your full application for the IEEE Credentialing or IEEE Microcredentialing Programs, there is a $200 non-refundable application fee. Please note that this non-refundable fee does not guarantee acceptance into the program. This application fee must be paid through the IEEE Learning Network below before submitting this form.

Payment Method

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Payment(Required)

I have paid the IEEE Credentialing Program application fee here.

IEEE Privacy Policy(Required)

I have read and accept the IEEE Privacy Policy.