Geo-CVD Application

Are you an AGU member?*
- Yes
- No
First Name*
Last Name*
Email*
Institution*
Professional Title
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This information is needed to determine your U.S. Representative.
Have you participated in Geo-CVD before?*
- Yes
- No
Scientific Expertise*
Briefly describe your scientific expertise in terms that could be understood by a general public audience.
Do you receive funding from any federal agencies? If yes, which ones?*
Why are you interested in participating in Geo-CVD?*
Do you have any dietary restrictions?*
Would you like to be considered for one of AGU's CVD Scholarships, which would help offset costs for your trip to Washington, D.C.?
- Yes
- No
AGU has a strong interest in helping its members build lasting, impactful relationships with their legislators, including through CVDs. If you'd like to be considered for a scholarship, outline three actions you will take following Geo-CVD to build a relationship with one or more of your legislators?