Step 1 of 3 33% Via this form you are able to submit a complete proposal in the context of the CoARA Call for National Chapters. It can only be submitted by a designated Point of Contact on behalf of their organisation (a member of CoARA). This form also allows to nominate the Lead (Science) Proposer who is in charge of the content of the proposal. For any question please contact secretariat@coara.eu Your Organisation and Contact Details Your organisation's name*(Required) Your name (designated Point of Contact)*(Required)Your name (designated Point of Contact)* Dr.MissMr.Mrs.Ms.Prof.Rev. title first name last name Your email address (designated Point of Contact)*(Required) Consent AgreementAuthorisation to submit the Proposal on behalf of organisations*(Required) By ticking this box, I confirm that my organisation is a member of CoARA and that I have the authority to submit the Proposal on behalf of my organisation and on behalf of the organisations mentioned here. Lead ProposerLead Proposer name*(Required)Lead Proposer name Dr.MissMr.Mrs.Ms.Prof.Rev. title first name last name Lead Proposer email*(Required) email addressWhat country is this National Chapter submitted for?*(Required) Full Proposal Title and KeywordsProposal Title*(Required)Details on other CoARA member organisations involvedPlease list other CoARA member organisations from your country endorsing this National Chapter. Kindly note that listed organisations should represent at least half of the country's overall CoARA member organisations*(Required) Short description of the mission and objectives of the group, and of how it fits with the overall CoARA vision (200 words max)*(Required) Short Description of you National Chapter for the CoARA website*(Required) Contact person to be listed on the National Chapters page of the CoARA website*(Required)Contact person to be listed on the National Chapters page of the CoARA website* Dr.MissMr.Mrs.Ms.Prof.Rev. title first name last name Email to be listed on the National Chapters page of the CoARA website*(Required) Email to be listed on the National Chapters page of the CoARA website*Consent to the publication of the provided information on CoARA's website(Required) By ticking this box, I agree to the publication of the provided information on CoARA's websiteExpected impact (notably expected adoption and implementation scenarios) (300 words max)*(Required) Added value of the National Chapter over and above what is currently being done within the country (300 words max)*(Required) Work plan and outputs / deliverables, that can be accomplished within the timeline proposed (600 words max)*(Required) Envisaged co-chairs leading the National ChapterMechanisms to ensure that a broader range of organisations, including from outside CoARA, contribute to and benefit from the National Chapter (300 words max)*(Required) Envisaged support needed from the CoARA Secretariat and resources expected to be provided in-kind by National Chapter members. Please note that this question is for information purposes only and will not be evaluated by the CoARA Steering Board. Please also have a look at section 1.6 in the Call Document for an overview of the possible support that can be offered to National Chapters.(Required) CAPTCHA