New Partner Organization Application

NOTE: ESIP does NOT have individuals as partners. All ESIP partners are organizations. If you have a question, email staff@esipfed.org for more information before filling out this form.

1. What organization is applying for partnership with ESIP? *This question is required.

2. Who will be the primary contact for the partner organization?

First Name *This question is required.

Last Name *This question is required.

Title

Organization *This question is required.

Mailing Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Postal Code *This question is required.

Country

Email Address *This question is required.

Phone Number *This question is required.

Fax Number

Mobile Phone

Website

3. Who will be the designated Assembly Representative? Please note that this person will be responsible for attending Assembly Meetings or designating a proxy to do so. This person will be responsible for voting in infrequent Assembly votes or designating a proxy to do so. If this person changes, please contact staff@esipfed.org as soon as possible.

4. Please add any alternate or proxy assembly representatives, if available.

5. What is the organization's main website address?

6. Describe the organization's role in the Earth science community (200 words or less)

7. Please describe your organization's Earth science data/technology activities.

8. What are the primary sources of your funding?

9. Describe current or anticipated users of your products and services and how you think ESIP can help you better serve this population. (200 words or less)

10. Describe technologies that you have developed and are willing to share with ESIP. (200 words or less)

11. Describe how you can contribute to the efforts of one or more Collaboration Areas. (200 words or less)

12. Describe your own use of Earth science information and data and how you would see this use enhanced by your partnership in ESIP. (200 words or less)

13. Which of these is the primary function of the proposed partner organization?ESIP partner organizations fall into several type categories. Your answer to this question will help us determine which type is best for your organization.

Please enter an 'other' value for this selection. * This question is required.

14. Is your organization interested in sponsoring ESIP?

15. Is your organization interested in providing in-kind support to ESIP?

Any other comments about your proposed partnership and its relation to ESIP that you wish to provide.

New Partner Organization Application

Contact Information for Partner ORGANIZATION Application