Thank you for your interest in volunteering to help us with International Year of Astronomy 2009 in Canada. To assist us in understanding how you could best work with us, we would appreciate your providing us with the following information. This information will be used solely by the Canadian IYA Coordinating Committee to achieve an optimum match and will not be shared further without your permission.

Fields marked with (*) are required.

Please indicate here if you permit us to share your information with IYA partners to assist in this matching process. (*)
YesNo
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Mr.Mrs.Ms.Dr.
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First Names (*)

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Last Name (*)

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City (*)

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E-Mail (*)

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Phone Number (digits only)

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Area that you are interested in working in

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Past Experience in area you are interested in

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Experience and knowledge of astronomy (professional, amateur, educator)

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Membership in astronomy societies
RASCCASCAFAAQOther
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If you belong to a specific astronomy club, which one?

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Student status
Secondary SchoolUndergraduate StudentGraduate Student
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Do you have special abilities (artistic, web writing, etc.)

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Do you have a pet project in mind?

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Alternatively, which National Activity would you like to contribute to?

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Is there an IYA Cornerstone Activity (without a Canadian national coutnerpart) that interests you?

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How much time are you thinking of committing to IYA 2009?

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Any particular time of the year?
SpringSummerFallWinter
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Can you travel to neighbouring towns? (*)
YesNo
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