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Coastal Coupling Community of Practice New Member Form

Privacy Act Statement
Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations which authorizes the operations of an executive agency, including the creation, custodianship, maintenance and distribution of records, and 15 U.S.C. 1512, Powers and duties of Department.
Purpose: NOAA collects limited information, such as name, address, phone number, or email address for a variety of purposes. This information will be used to respond to user inquiries or provide services requested by the user.
Routine Uses: Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among Department staff for work-related purposes. Disclosure of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/NOAA-11, Contact Information for Members of the Public Requesting or Providing Information Related to NOAA’s Mission.
Disclosure: Furnishing this information is voluntary. By providing this information, you are consenting to the use of that information only for the purpose for which it is submitted.

A red asterisk (*) indicates a required field.

Thank you for your interest in the Coastal Coupling Community of Practice (CoP).

Use this form to sign up to receive notifcations of upcoming events and announcements of interest to the CoP.

Contact us at Coastal.Coupling@noaa.gov if you have any questions.

Your organization type *
Would you like to participate in one of the following working groups? *

An official form of the United States government. Provided by Touchpoints
OMB Approval #0690-0030 · Expiration Date 07/31/2026