JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
QCESC Pledge of the Computing Professional IA Node #3 Nomination Form
2023 Nomination Information - Deadline to submit is February 15, 2023
Further information on the QCESC Pledge of the Computing Professional is available with the following link:
https://qcesc.org/the-pledge-of-the-computing-professional/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Candidate's Last Name
*
Your answer
Candidate's First Name and Middle Initial
*
Your answer
Candidate's email address
*
Your answer
Candidate Phone Number
*
Your answer
Name of the Institution where Candidate earned an Information Technology Degree
*
Your answer
Year the Information Technology Degree was received
*
Your answer
Information Technology Degree received
*
Your answer
The induction ceremony will be at the QCESC STEM Celebration on February 23, 2023. Will the candidate be able to attend?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Quad City Engineering and Science Council.
Report Abuse
Forms