Community Near-Fault Observatory Interest/Feedback Form

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Please fill this out to provide feedback and notify us of your interest in participating.

Email *

Name *

Affiliation
*

What level would you like to participate in Community Near-Fault Observatory activities? *

1 - low, e.g. I would like to receive updates and hear about upcoming events

3 - medium, e.g. I would like to present my work at an event

5 - high, e.g. I would like to organize an event or contribute to a proposal

What career stage are you?
*

Student (currently enrolled in an institution)

Recent graduate or post doc (within five years of receiving your highest terminal degree)

Early career (within 10 years of receiving your highest terminal degree)

Middle career (within 20 years of receiving your highest terminal degree)

Established/Senior (>20 years from receiving your highest terminal degree)

Other:

How is the Community Near-Fault Observatory relevant to your future research plans and/or career? Please briefly describe in two to three sentences.

Feedback and Comments

A copy of your responses will be emailed to the address you provided.

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