Please fill out the following
information and send the form to the club Secretary at the e-mail address
in the newsletter or present it at the next regular meeting.
Member name: ___________________________________ Request Date: ______________
Member contact information (check first preference):
____ Home phone: ____________________
____ Work phone: ____________________
____ Cell phone: ______________________
____ E-mail address: __________________
How long have you been interested in or involved in astronomy? _________________________
What type of equipment/software do you have or are you thinking about purchasing.
______________________________________________________________________________
______________________________________________________________________________
Describe your mentoring request in
your own words:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Which of the following areas best address your mentoring request (check all that apply):
____ Basic introduction to the club and the club activities.
____ Telescope setup, collimation, polar alignment
____ Observing
____ Telescope construction
____ Astrophotography
____ CCD imaging
____ Binocular observing
____ Cosmology, Astrophysics
Originator of this document if not the member: _______________________________________
Assigned Mentor: ___________________________ Date: ____________ Log No. _________
This page last updated on July 4, 2003.