Institutional Membership Form

Thank you for your interest in joining the working group. You should receive an email confirmation shortly. If you do not receive a confirmatuion or have any questions, please contact Ed Jedlicka.

SECTION I: Organization Information

Organization or Affiliation:
Organization Address
Street Address:
Line 2:
City:	State:	Zip:

SECTION II: Contact Information-Site Lead Info

First Name (given name):
Middle Initial/ Name:
Last Name (family name):
Work Phone Number:
Work Fax Number:
Email Address:

SECTION III: What unique skill or capability
will your institution contribute to the consortium?
such as:

* Please provide descriptions for each of your selections.
	Porting or developing applications to BlueGene/L

	Developing system software on BlueGene/L

	Compiler testing and development

	Unique systems environment and/or integration

	Developing mutual training and support mechanisms

	Conducting detailed performance analysis of a BlueGene/L system

What base level system is your institution planning to procure? - A minimum of 1/8 rack required for sponsorship level membership

Please list names and e-mail addresses for additional personnel from your institution who will be participating in the BlueGene Consortium.
Please enter each person on a new line Joe Smith - joe@bg.anl.gov Eve Thomas - eve@bg.anl.gov