LICN Data Update Form

Fill in the blanks below and press the submit button to submit or update your LICN database information.
For updates, only your IEEE member number, First and Last Name and EMail are required.
Please leave blank any fields you do not want changed.
Use the value: (none) -- to indicate you want erase an item.
To change only one or a few words in the keyword list or description, use the notation:
s/17/20/g -- to indicate you want "20" to be substituted for "17" everywhere in that item. Leave off the trailing "g" to change only the first occurrence of "17".

Your: IEEE Number:

Title	First Name	Initial	Last Name	[ Nickname ]	Credentials:

Company Name: Home Address
Street: Homeaddress2
StreetAddress2: HomeCity, St, Zip:
City: State: Zip:
Phone:
FAX: If same, leave blank and select "With_FAX" above.
Other Phone: Type:
EMail: To be published in directory and Contact List
EMail2: For members list (if different)
EMail3: For referrals list (if different)
WebSiteURL: Your own web site
List of Keywords. These are NOT restricted to the Skills matrix headings.
Description (One or two paragraphs 150 word limit):

Return to the LICN Home Page
Use this link to edit your skills matrix entries: Skill Matrix Entry Form

Last update 7/26/04 by Jim LaTourrette.