Affiliate Registration for University of Michigan Space Institute
If you would like to become an affiliate of the Space Institute, please fill out the following fields:
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
What is your connection to the University of Michigan? *
University of Michigan Department/Unit/Program
Organization (if not University of Michigan)
Expertise/Fields of Interest relating to space: *
In what ways do you intend to use the Space Institute for new connections?
Do you want your profile to appear on the UMSI Affiliates page? If you answer yes to this question, we will include your name, email address, organization, research area key words, and website address. Profiles on the Affiliates page will be public and searchable. *
Research Area Key Words
Your website address
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse