Saturn Observation Campaign

NASA/JPL Cassini-Huygens Saturn Observation Campaign
Application

Please provide the following information for our records. This information is strictly confidential and will not be shared in a public forum.

Fields with a red asterisk (*) are required. Please be sure to fill in all required fields.

Personal Information
First Name*
Middle Initial
Last Name*
Affiliation* (e.g. Pink County Amateur Astronomers Club. If you don't have an affiliation please enter "None")
Street Address 1*
Street Address 2
City*
State or Province*	State: OR Province:
Zipcode (Format XXXXX-XXXX)	- (The last four digits are not required)
Country*
Phone Number* (Format: XXX-XXX-XXXX)	- - EXT
Fax Number (Format: XXX-XXX-XXXX)	- -
Email Address*
Alternate Email Address
Personal Website	http://
Name of your local Newspaper*
Do you have the ability to attend online events sponsored at the Jet Propulsion Laboratory? *	Yes No
Are you able to travel to rural communities to hold Saturn viewing events? *	Yes No
Do you have year round access to a computer, Internet and email?*	Yes No
Are you currently a member of the Saturn Observation Campaign? *	Yes No
Astronomy Background
If you are not an affiliate with a planetarium, please list the closest one.
Are you a member of an Astronomy club?*	Yes No
If you are a member of an Astronomy club what is the name of the organization?
Street Address 1
Street Address 2
City
State or Province	State: OR Province:
Zipcode (Format XXXXX-XXXX)	- (The last four digits are not required)
Country
Phone Number (Format XXX-XXX-XXXX)	- - EXT
Fax Number (Format XXX-XXX-XXXX)	- -
Website	http://
Please briefly answer the following questions.
What is your experience in planetary observation? *
Describe how you will attract attendance at your events. *
Do you have established partnerships that will be supporting your efforts for example a local observatory, planetarium, educational facility or science center? *
Will you be reaching inner city, rural or communities who would otherwise not have the opportunity to view Saturn? *
List any memberships to Astronomical organizations. *