Institution Name:*

Department/Division:*

Name of Approving Official:*
e.g. your Department Chair, or Dean

Title of Approving Official:*

Institution Nationality:* ------------------- Select One -------------------- U.S. or U.S. Territory Foreign

Institution Type:* ------------------- Select One -------------------- Educational Not-for-Profit Federal, State or Civic Agency Other

Department Web Site:*
e.g. http://www.unavco.org

Summary Statement*

Please provide a 1-2 paragraph summary statement of your organization's interests for joining UNAVCO. The summary should address: (1) your institution’s commitment to scholarly research involving the application of high precision geodetic and strain techniques to Earth science or other related fields of study; and (2) your institution’s commitment to participate in UNAVCO’s annual meeting of members, governance activities, and programs.The summary should address your institution’s commitment to scholarly research involving the application of high precision geodetic and strain techniques to Earth science or other related fields of study, and your institution’s commitment to participation in UNAVCO programs.

NOTE: You may enter up to 2000 characters.

Institution Map Location

Adjust Map Size

Use the map to place a marker on your institution.

Help

1. Drag and zoom the map to locate your institution. Use the +/- zoom buttons or your scrollwheel to zoom in/out.
2. Click the marker button (to the right of the map). This places a marker at the center of the map.
3. You can drag your marker around the map for precise positioning over your institution/building. You can also remove a marker by dragging it off the map.

Latitude:* -- Use the map tool --
Longitude:* -- Use the map tool --

Please indicate the areas of interest in geodesy for scientists within your organization.

Add me to the community e-mail list.

First Name:*

Last Name:*

Organization:*

Phone Number:*

Fax Number:

E-mail:*

Mailing Address
Street Address:*
 
 

City:*

State/Province:*

Country:*

Postal Code:*

Shipping Address(Same as Mailing Address)
Street Address:*
 
 

City:*

State/Province:*

Country:*

Postal Code:*

I know other individuals at my institution with interest or potential interest in UNAVCO activities and resources.