IDA Chapter Application
Basic Information
Name of Application Leader
*
First Name
Last Name
Email
*
example@example.com
When did you join IDA’s Advocate Network? *The requirement is to be a part of the IDA Advocate network for 3 months before approval as an IDA Chapter.
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-
Month
-
Day
Year
Date
If you have not been a part of the IDA Advocate Network for 3 months, please explain any circumstances here that should exempt you from this requirement. i.e. professional in the dark sky field, lots of experience on IDSP applications, referral from current Delegate or Chapter leader etc.
Please list the first and last name, city, state and country, and email addresses of the 5 required group leaders.
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First and Last Name
Email address
City, State, Country
Group Leader 1
Group Leader 2
Group Leader 3
Group Leader 4
Group Leader 5
Are all IDA Dark Sky Group leaders IDA members? *IDA membership is required. Membership link: https://darksky.salsalabs.org/new_member_pmt_form/index.html ---- for membership scholarship information, please email bettymaya@darksky.org
*
Yes
No
Some need membership scholarships
Languages spoken
I would like to volunteer to translate IDA materials
Yes
No
If yes, what language(s)?
Do you attend IDA Advocate Monthly Meetings or review the recordings? *This is recommended for IDA Dark Sky Group leaders
*
Yes
No
Dark Sky Plan
Proposed IDA Chapter name
*
Is your IDA Chapter an incorporated entity? If so, please provide information about the structure.
*
IDA Chapter Website or Social Media
Why do you want to form an IDA Chapter? (3-5 sentences)
*
What are your initial goals? (Please list 3-10 goals)
*
What is your initial startup plan? (3-10 sentences)
*
Is there currently a Chapter or Delegate in your area? (link to map of advocates: https://www.darksky.org/our-work/grassroots-advocacy/chapters/find-a-chapter/)
*
Yes
No
If yes, who or what Chapter?
What is your plan for sustainability of the Chapter? (3-10 sentences)
*
Agreements
I have read and agree to comply with IDA’s Chapter Handbook including the Code of Conduct and Mission, Vision and Values.
*
Yes
No
I understand that starting an IDA Chapter in a region does not exempt future IDA Chapters or Delegates from being formed within the region
*
Yes
No
I understand that IDA does not provide funding to IDA Chapters
*
Yes
No
I agree to submit an annual report as requested by IDA each year
*
Yes
No
I agree to be listed as a local point of contact and have a designated email address shared without prior consent when inquiries are made to IDA.
*
Yes
No
Please include the email address and name you would like listed as your primary contact.
*
example@example.com
I understand that if this application is approved, I will be required to sign the IDA Chapter Agreement and that IDA may terminate this agreement at any time at their sole discretion.
*
Yes
No
Submit
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