Policy Action Network Submission Form

The Public Policy Database is intended to facilitate communication between the ASLO Public Policy Office, members of ASLO, and policy makers in the U.S., Canada, and EU. Aquatic scientists who sign up for the Public Policy section have the option to:

receive periodic updates on policy issues of interest to aquatic scientists;
stay informed of the latest trends in research funding in the U.S., Canada, European Union and other governments;
receive alerts when letters or calls to your government representatives are needed, and
serve as a resource for policymakers in your district who are seeking scientific advice in your area of expertise.

Your participation in this database effort will help ASLO fill critical communication gaps between aquatic scientists and policy makers.

Your information will be retrievable through web searches on the ASLO Website. Participants may update their entries at any time using the Database Update Page, or by contacting the Web Editor.

After submitting your information, you will receive a reminder of your chosen password by email. You should record and keep this password. You will need it to update your record.


Please choose a password and enter it in both spaces. You will need this password to update your record in future.

BACKGROUND INFORMATION

Email Address: (*REQUIRED*)
Last/family name:
First name and middle initial:
Primary Institutional Affiliation:
Title at Primary Institution (e.g. Associate Professor):
Highest Degree Completed:
Employer Type: Academic Research/Education Consulting Government Agency Non-Government Organization Corporation/Private Company
Other (please specify):
Primary Activity: Research/Education Consulting Management/Administration Policy
Other (please specify):
Secondary Institutional Affiliation:
Title at Secondary Institution (e.g. Adjunct Associate Professor):

CONTACT INFORMATION
*Please provide at least* one method by which you prefer to be contacted.**

Contact Me by Telephone/Fax
Telephone:
Fax:

Contact Me by E-Mail at the Above Address:	Yes No

Contact Me by Postal Mail
Mailing address 1:
Mailing address 2:
City:
State/Province (US):
Zip/Postal Code:
Country:

I would like to receive periodic aquatic science policy updates and action alerts from ASLO (6-12 emails per year)

I am willing to participate in ASLO sponsored policy activities, such as letter writing campaigns, science exhibits in Washington D.C., or local visits to my members of Congress. (Note: You may opt out of this effort at any time by emailing policyrep@aslo.org.)

I would like ASLO to contact me if my expertise is needed on a particular issue.

Please provide your ZIP or postal code to identify the locations where you live and work.
Zip/Postal Code where I live:
Zip/Postal Code where I work:

DESCRIPTION OF ACTIVITIES AND BACKGROUND Please check any that apply to your work
Limnology Rivers and Streams Lakes and Reservoirs Oceanography Estuaries Open Ocean Deep Ocean Coastal Ocean Wetlands Saltwater Freshwater Work is primarily in Water Column Sediments	Limnology/Oceanography Field Atmospheric Sciences Chemical Biological Physical Geological Fisheries Aquaculture Remote Sensing Modeling Nutrient Cycling Biogeochemistry Food Webs Microbial Ecology Primary Production Secondary Production
PLEASE CHECK IF INVOLVED WITH ANY OF THE FOLLOWING TOPICS
Ecosystems/Human Health Biodiversity Climate Change Coral Reefs Watersheds Harmful Algal Blooms Invasive Species Marine Protected Areas	Wetlands Restoration Mitigation Water Quality Criteria Bacteria Nutrients Trace Metals Organics Water Quality Monitoring Modeling Fisheries Management Stock Assessment
PLEASE CHECK YOUR GEOGRAPHICAL REGION OF EXPERTISE (Regions you have worked in and are familiar with, not necessarily where you presently live)
United States Northeast Southeast Northwest Southwest Upper Midwest (Great Lakes) Lower Midwest Canada Eastern Western Central Northern Europe Eastern Western Northern Southern Central Other Australia Caribbean Central America Middle East	Africa Eastern Western Northern Southern Central Asia Eastern Western Northern Southern Central South America Eastern Western Northern Southern Central Ocean Regions Antarctic Arctic Tropical/Subtropical North Atlantic South Atlantic North Pacific South Pacific Mediterranean Indian Ocean Gulf of Mexico Other


A more detailed description of your interests, current and past activities would be very useful to highlight particular areas of expertise. Please be concise but complete. The information in this section will be indexed and used to locate individuals with a particular background, so should contain as many keywords as you feel are necessary and relevant to describing your background. You should limit your entry to the equivalent of a one-page mini-resume, but it can be as brief as a single paragraph.

General Guidelines It is not necessary to stay within the space provided. Your input can be any reasonable length. Format the message so that it appears within the text box as you wish it to appear on the page. Please note, however, that complex formating (e.g. two columns, indentations more than one space) will generally be lost. Use a simple, left-justified format. Break paragraphs using the ENTER key, leaving a single blank line between paragraphs. Long lines that go beyond the right hand edge of the text box will be automatically word-wrapped. Most browsers will automatically wrap the display text as you type; if your browser does not, the text will still be word-wrapped in the web page created for your entry. You will have an opportunity to review your entry and check its appearance.

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Policy Action Network Submission Form

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