Application for IAU Junior Membership Nomination 2018

The National Academies (United States)
Personal Information

For US appplication only. US citizenship not required. If not US Citizen check visa type H1B, J, Other

Format: DD/MM/YYYY

Contact Information

Use the full, official name of the Institution, not an abbreviation.

If not listed select "None"

Without country code prefix.

Recommended to enable international communication

Recommended to enable international communication

Optional (for Secretariat contact only, it will not be shown on the website)

Link to personal website (not organizational)

If not available please type N/A

Education and Professional History
Ph.D

Use the full, official name of the Institution, not an abbreviation.

City, State, Country

First Degree

Use the full, official name of the Institution, not an abbreviation.

City, State, Country

Current position

Use the full, official name of the Institution, not an abbreviation.

City, State, Country

Publications or significant activities
IAU Fields of Interest

Would you be available to contribute to the activity of the following IAU Offices?

e.g. advisory on theme articles, scientific proofreading for translated materials, peer reviewer for CAPJournal, advisory role on science component on outreach projects

e.g. serve as a lecturer in ISYA schools

Please select at least one division. Hold down "Control", or "Command" on a Mac, to select more than one.

Files attachment

Letter of reference by the PhD Thesis supervisor (PDF Format)

Optional, ID-like photo of yourself (JPG format, max 500KB). Will be shown on the profile page on the web site

Curriculum vitae (PDF Format), mandatory if requested by the proposing National Member.