New Energy Congress Membership Application

I am applying to be a Advisor Member Staff Volunteer  
I was nominated by NEC member: ("n.a." if none)

My Name (required)
                   (first name first)

It would be okay to list my Yahoo!Groups username on the membership listing page (public).

My energy website(s):
(Give sub-directory if only a section of a site is pertinent)





Other

Advanced Degrees, Certificates, Training, or equivalent
(List degree, field and institution)

Location(s) online where my biographical material is available:



Other:

Number of energy-related technologies I have personally invented.

Please elaborate (url, patent info, company name)

Technologies in which I have been personally involved:
(Please indicate your level of involvement. If proprietary, use code name,
or say "can't reveal". Indicate whether the involvement was professional,
hobby, or casual)

Energy discussion lists on which I am an active participant:
(Yahoo!Groups, forums, etc.)

I would be willing to serve as a specialist for the following Top 100 energy technologies on behalf of the NEC.
First choice
Second choice
Third choice

Tasks I am willing to do for NEC:
(place check next to any that apply)
Manage a specific technology review (including associated documentation)
Inventor interface
Physical testing of technologies
Management of laboratory
Technology Review Criteria development
First response triage of incoming technology submissions
Replication plans preparation
Committee management
General administration
Treasurer
Fundraising
Grant review and screening
Meeting scheduling and recording of minutes
Retreat venue planning and managing
Travel coordination
New member screening
Manage member profile pages and contact updates
Poll / survey creation and formatting
Preview / edit polls & surveys before they go live
Keep roll for vote participation
Manual vote tally
IT programming
IT hardware
PESWiki oversight
MS Front Page site admin
Webmaster functions
Forum list management (mandatory list membership, create project lists)
Bylaw drafting and management
Legal issue management
Incorporation management
Publicity, media relations
Other

In the PAST three years, on average, the amount of exertion I put into energy technology would be best estimated as
select 1 hour / week 5 hours / week 10 hours / week 20 hours / week 30 hours / week 40 hours / week 50 hours / week 60 hours / week 70 hours / week 80 hours / week 90 hours / week 100 hours / week 110 hours / week 120 hours / week

In the NEXT three years, on average, the amount of exertion I plan to put into energy technology would be best estimated as
select 1 hour / week 5 hours / week 10 hours / week 20 hours / week 30 hours / week 40 hours / week 50 hours / week 60 hours / week 70 hours / week 80 hours / week 90 hours / week 100 hours / week 110 hours / week 120 hours / week

Based on a 40-hour work week standard, I would estimate that I have put in about years-equivalent in energy technology thus far.

If something unforeseen doesn't happen, I expect that I have about years-equivalent remaining to give to energy technology.

In the near term, I would estimate that I will be able to devote around hours per week to NEC tasks.

The greatest strength I would bring to the congress is:

The machining, fabrication and testing equipment I have on hand:

Why I want to be a member of the New Energy Congress
(A brief paragraph)

Name of energy associate who should be a member of the Congress but is not yet:
(include brief description, website, contact info)

References
(list three names [preferably from Energy field], their contact information,
 and their relation to you)

Memo / Comment

The responses given in this survey will be sent to a
private Yahoo!Groups list, where NEC members may view them.

Spam Arrest
What is the square root of 9? [clue: it is one more than two]

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