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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.

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* 2. Please enter your contact information

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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)?

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

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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.

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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?

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