Astronomers Without Borders National Coordinator Interest Survey

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* 1. Thank you for your interest in becoming a National Coordinator for Astronomers Without Borders. Please confirm that you have read the National Coordinators Handbook and would be willing to sign this agreement should you be selected.

Yes

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* 2. Please enter your contact information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

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* 3. Please state the name of the country that you wish to become the National Coordinator for. If this is not the country of your residence, please explain why you should be the contact for this country.

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* 4. How did you hear about Astronomers Without Borders (AWB)?

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* 5. What other Astronomy or Outreach Organizations do you belong to (National or International)?

Astronomical Society of the Pacific

Night Sky Network

International Planetarium Society

International Astronomical Union

Royal Astronomical Society

American Association of Variable Star Observers

Planetary Society

International Meteor Organization

International Dark Skies Association

African Astronomical Society

Other (please specify)

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* 6. Are you associated with a Planetarium or Observatory?

Yes

Other (please specify)

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* 7. Why do you want to be an AWB National Coordinator (NC)?

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* 8. What astronomy issue is close to your heart? For example, one of our NCs, Olayinka Fagbemiro, is passionate about helping girls learn astronomy and coordinates astronomy camps in Nigeria.

Astronomers Without Borders National Coordinator Interest Survey

Question Title

* 1. Thank you for your interest in becoming a National Coordinator for Astronomers Without Borders. Please confirm that you have read the National Coordinators Handbook and would be willing to sign this agreement should you be selected.

Question Title

* 2. Please enter your contact information

Question Title

* 3. Please state the name of the country that you wish to become the National Coordinator for. If this is not the country of your residence, please explain why you should be the contact for this country.

Question Title

* 4. How did you hear about Astronomers Without Borders (AWB)?

Question Title

* 5. What other Astronomy or Outreach Organizations do you belong to (National or International)?

Question Title

* 6. Are you associated with a Planetarium or Observatory?

Question Title

* 7. Why do you want to be an AWB National Coordinator (NC)?

Question Title

* 8. What astronomy issue is close to your heart? For example, one of our NCs, Olayinka Fagbemiro, is passionate about helping girls learn astronomy and coordinates astronomy camps in Nigeria.

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* 9. What do you want to do as a National Coordinator?

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* 10. What would make you an excellent National Coordinator?