Download:
pdf |
pdfWRN Ambassador Application
adrienne.thomas@noaa.gov Switch account
Not shared
* Indicates required question
Organization Information
*Required Fields
Name of Applying Organization
[please be specific if you represent a subset of a larger organization such as a
chapter, field site, or office]
*
Your answer
Request edit access
First Name *
Your answer
Last Name *
Your answer
Point of Contact's Position Title *
Your answer
Phone Number *
Your answer
Email Address [please double check for accuracy] *
Your answer
Website
Your answer
Request edit access
Organizational-scale [national, regional, state, tribal, local-scale]
Do you currently have a relationship with NOAA/NWS? *
If yes, please provide NOAA/NWS contact name and office and nature of partnership.
Your answer
Organization's 5-digit Zip Code *
This information is being used to determine the appropriate NOAA/NWS office for your
organization. If your area does not have a 5-digit zip code (including international
locations), please type in the name of your location (e.g., city, town, island).
Your answer
Please check the option that best applies to your organization *
Government Agency
Academia
Weather, Water, Climate, Environmental Information Provider
Media
Corporate and Small Business
Non-Profit, Association or NGO
Education/Outreach
Maritime/Marine
House of Worship/Faith-based Organization
Other:
Request edit access
WRN Ambassador Commitment
Please click on the box below to accept the WRN Ambassador responsibilities for your
organization.
On behalf of your organization, you commit to helping build a Weather-Ready
*
Nation such as promoting safety messages/information, engaging with NOAA on
potential collaboration opportunities, sharing success stories of preparedness
and resilience, advancing outreach to vulnerable communities, and serving as an
example by educating employees:
I accept the WRN Ambassador responsibilities for my organization in helping build a
Weather-Ready Nation.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Oceanic and Atmospheric Administration. Report Abuse
Forms
Request edit access
File Type | application/pdf |
File Title | WRN Ambassador Application |
File Modified | 2024-10-25 |
File Created | 2024-10-25 |