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* 1. Name of organisation(s)

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* 2. Address

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* 3. Country

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* 4. Website of the organisation

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* 5. Social media profile(s)

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* 6. Date of creation

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* 7. Mission

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* 8. Is organisation non-profit?

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* 9. Number of staff

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* 10. Annual budget

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* 11. Governance structure

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* 12. Person(s) responsible for implementation

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* 13. Phone(s)

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* 14. Email(s)

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* 15. Describe your experience with promoting the use of Earth Observation data and/or information. Please focus on any successes you have had. 

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* 16. Please provide a broad outline here of how you would plan to go about the work of a Member of Copernicus Relays – what are the key activities that would be undertaken. If you have a concrete project in mind please elaborate on this basis. If not, please provide your general understanding of what activities you would undertake as a Member of Copernicus Relays. Please also include an overview of the human resources that would be needed to put this plan into action. 

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* 17. Please provide details on your capacity to implement activities as a Member of the Copernicus Relays. This should include capacity available within the applicant(s) as well as identifying capacity gaps and where additional capacity can be sourced externally. 

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* 18. Please provide details on how you plan to approach and engage relevant stakeholders (such as such as managing authorities, business sector, technical experts, relevant civil society organisations, etc.) in this project. What role can they play? What is your current relationship with these actors? Are there any challenges and how do you plan to overcome them? 

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* 19. Please provide details on how you plan to reach out to the media and the public under this project. What is your current experience in such outreach? What challenges do you anticipate and how would you overcome these? 

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* 20. Please use this space to provide any other comments.

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* 21. Please note that applicants from non-Copernicus Participating Countries, should provide a letter of recommendation from a national authority. You can upload your letter of recommendation here. 

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