Please provide the following information:

Your Address:

Career Status: Graduate Student Post-Doc Early Career - pre tenure (asst. professor, asst. research scientist, staff scientist) Mid-Late Career - permanent position Other

Please write a short paragraph of application stating your needs (number of children, hours needed:)

Would you be interested in childcare sharing? (match-up process analogous to the AAS meeting roomate sharing)
Yes
No

If there were an on-site daycare center to be offered at future meetings at a cost of $10/hr, would you prefer it to this sort of subsidy arrangement?
Yes
No