Amateur Radio on the International Space Station (ARISS)
School Application Form
For an Organized Radio Contact with the International Space Station
Please read instructions before filling out the application.
SECTION A
ALL QUESTIONS IN THIS SECTION MUST BE ANSWERED.
For a direct contact, fill out questions A1 to A15 and B1 to B7. For a telebridge contact, fill out questions A1 to A15.
Note: Please enter your country code and city code as part of the telephone number for any voice, fax, or cellular phone.
(A1.) Date of application:
(A2.) SchoolsName: / Pawel Wlodkowic University College
in Plock
- Department
of Pedagogy
- Department
of Computer Science
- Department
of Public Safety / 2nd Private Primary School ZOK “PROFESOR”
in Plock / Zespół Szkół Zawodowych
Nr 2
w Płocku / Plock
Scientific
Society / Primary School
in Liszyno
Address: / 09-402 Płock
ul. Kilińskiego 12 / 09-402 Płock
ul. Kilińskiego 12
bud. B / 09 - 400 Płock
ul. Gwardii Ludowej 7 / 09-402 Płock
pl. Narutowicza 8 / Liszyno, ul.Wawrzyńca Sikory 19
City: / Płock / Płock / Płock / Płock / Liszyno
State, province, territory, mail district: / Mazovia
Zip or postal code: / 09-402 / 09-402 / 09-400 / 09-402 / 09-410
Country: / Poland
Phone #: / +48 24 366 41 30 (31) / +48 24 366 41 52 / +48 24 366 99 91 / +48 24 366 99 50 / +48 24 261 29 22
Fax #: / +48 24 366 41 45 / N/A / +48 24 366 99 91 / +48 24 262 26 04 / +48 24 261 29 22
E-mail address: / daniel
@wlodkowic.pl / szkola_podstawowa
@wlodkowic.pl / szkola@
elektryk.plock.com / aktnp
@interia.pl / sekretariat
@spliszyno.pl
School Web site address: / http://www.
wlodkowic.pl/ / http://www.profesor.
edu.pl/psp/ / http://www.
zsznr2.pl/ / http://www.tnp.
org.pl/ / http://www.
spliszyno.pl/
Normal school hours: / 8:00 – 15:00 / 8:00 – 15:00 / 8:00 – 14:00 / - / 8:00 – 14:00
Brief description of the school and the amateur radio school club (if there is one): / Radio amateur activity on 15 years of Pawel Wlodkowic University College - with SN0SWPW special call sign. / N/A / Packet radio node.
Digital modes workshops. / N/A
(A3.) Principal
Name: / Kazimierz Waluch / Barbara Dragan / Anna Piekarska / Andrzej Kansy / Anna Warda
School phone #: / +48 24 366 41 49 / +48 24 366 41 52 / +48 24 366 99 91 / +48 24 366 99 50 / +48 24 261 29 22
School fax #: / +48 24 366 41 48 / N/A / +48 24 366 99 91 / +48 24 262 26 04 / +48 24 261 29 22
School e-mail address: / nauka
@wlodkowic.pl / szkola_podstawowa
@wlodkowic.pl / anna.piekarska
@elektryk.plock.com / aktnp
@interia.pl / sekretariat
@spliszyno.pl
Pager #: / N/A
Home phone # / N/A / +48 24 268 49 21 / N/A / +48 24 366 85 27 / +48 24 263 40 35
Home fax #: / N/A
Cellular phone #: / +48 693 35 88 44 / +48 600 017 889 / +48 505 073 669 / +48 609 208 505 / +48 509 303 106
Home e-mail address: / nauka
@wlodkowic.pl / N/A / N/A / aktnp
@interia.pl / N/A
Home address: / ul. Chopina 32 / ul. Armii Krajowej 6 m. 44 / ul. Armii Krajowej 36 m. 38 / ul. Orlińskiego
3 m. 4 / ul. Prosta 14
Home city: / Płock / Płock / Płock / Płock / Płock
Home state, province, territory, mail district: / Mazovia
Home zip or postal code: / 09-402 / 09-410 / 09-410 / 09-400 / 09-410
Home country: / Poland
(A4.) Coordinating teacher
Name: Daniel Korzan
Grade level/subject taught: PhD / pedagogy, educational media, didactics
School phone #: +48 24 366 41 30 (31)
School fax #: +48 24 366 41 45
School e-mail address:
Pager #: N/A
Home phone #: N/A
Home fax #: N/A
Cellular phone #: +48 508 074 071
Home e-mail address:
Home address: 09-410 Liszyno, ul. Wawrzyńca Sikory 20 a
Home city: Liszyno
Home state, province, territory, mail district: Mazovia
Home zip or postal code: 09-410
Home country: Poland
(A5.) Public relations contact
Name: Tomasz Kruszewski
Work phone #: +48 24 366 41 49
Work fax #: +48 24 366 41 48
Work e-mail address:
Pager #: N/A
Home phone #: N/A
Home fax #: N/A
Cellular phone #: +48 601 264 094
Home e-mail address: N/A
Home address: ul. Wańkowicza 47/4
Home city: Płock
Home state, province, territory, mail district: Mazovia
Home zip or postal code: 90-410
Home country: Poland
(A6.) Has the school previously been selected for a shuttle, Mir, or ISS contact? NO
(A7.) Language requested: English (or Polish if its possible, but English is preferable – in case of language study possibility, reason and motivation)
(A8.) Are weekends, holidays or nights a problem for your contact? YES (rather – but there is possibility to make a QSO during evening hours)
Major Holidays:April 1st – April 7th 2010
April 24th – May 4th 2011 / - Easers Holidays
May 1st – May 4th / - May Holidays (1st of May – Labour Holiday; 3rd of May – Constitution Holiday) – we call it: “Long May Weekend”
June 20th – September 1st / - Summer Holidays
November 1st / - Halloween
November 11th / - Independence Day
December 20th – January 2nd / - Christmas Holidays
(A9.) Attach the school's educational proposal to this application before submitting.
For College Students of Pedagogy: during classes of media in education as an special example of distant learning, and some kind of pedagogical experiment;
For College Students of Computer Science: applications of computers for (radio)communication, digital protocols, tracking of satellites;
For College Students of Public Safety: practical lesson of (radio)communication, with special attention to radio amateur work in emergency communication;
For Primary School Pupils: lessons of space, technology and technique, nature and natural phenomena, our planet and solar system and methods and techniques of its examination;
For Scientific Society: idea for integrating interdisciplinary studies in one, historical, social, educational, technical and communication experiment.
For local community:
§ occasion to learn about space and its human explorations;
§ exhibition(s) in Plock Scientific Society of: Nicolaus Copernicus (De revolutionibus); Johannes Hevelius; and other old prints and works collected in Society Library;
§ cycle of lessons, lectures about space, sollar system and space travels;
§ printing a callendar with Johannes Hevelius instruments drawings for celebrating His 400 years of birthday.
(A10.) Contact site phone #: +48 24 366 41 30 (31)
(A11.) Contact site cellular phone #: +48 508 074 071
(A12.) Contact site fax #: +48 24 366 41 45
(A13.). Contact site time zone: CET / CEST
When does your area go to Daylight Saving Time?
Last Sunday of March / Last Sunday of October
(A14.) Hours before or after UTC (Coordinated Universal Time): UTC+1 / UTC+2
(A15.) Assisting local amateur radio club
(To be filled out by the amateur radio club if one is providing assistance)
Name of amateur radio club: The Scout Amateur Radio Club SP5ZBA
Club contact person: Daniel Korzan
Contact person's call sign: SQ5AXS
Contact person's home phone #: N/A
Contact person's work phone #: +48 24 366 41 30 (31)
Contact person's pager #: N/A
Contact person's e-mail address:
Is the club experienced with satellite operations? YES
National amateur radio organization (if club is affiliated with a national amateur radio organization such as the ARRL): POLISH AMATEUR RADIO UNION
SECTION B
ONLY ANSWER THESE QUESTIONS BELOW IF A DIRECT CONTACT BETWEEN THE SCHOOL AND ISS IS REQUESTED
If you are unsure how to answer a question, please ask your ARISS representative for help.
(B1.) Radio contact coordinator
(To be filled out by an amateur radio operator)
Name: Daniel Korzan
Call sign: SQ5AXS
Home address: ul. Wawrzyńca Sikory 20 a
Home city: Liszyno
Home state, province, territory, mail district: Mazovia
Home zip or postal code: 09-410 Płock
Home country: Poland
Home phone #: N/A
Pager #: N/A
Cellular phone #: +48 508 074 071
Home fax #: N/A
Home e-mail address:
Work phone #: +48 24 366 41 30 (31)
Work fax #: +48 24 366 41 45
Work e-mail address:
Experienced with satellite operations? (YES or NO): YES
DATA ABOUT SITE OF RADIO CONTACT
(B2). Site of radio contact location information:
Latitude [Use decimal format] (Indicate N=North S=South): 52.544519 N
Longitude [Use decimal format] (Indicate W=West E=East): 19.707289 E
Elevation [Use meters above mean sea level]: 103
Address: Al. Kilińskiego 12
City: Płock
State, province, territory, mail district: Mazovia
Country: Poland
(B3.) Radio coordinator during contact:
Name: Daniel Korzan
Call sign: SQ5AXS
Home address: ul. Wawrzyńca Sikory 20 a
Home city: Liszyno
Home state, province, territory, mail district: Mazovia
Home zip or postal code: 09-410 Płock
Home country: Poland
Home phone #: N/A
Pager #: N/A
Cellular phone #: +48 508 074 071
Home fax #: N/A
Home e-mail address:
Work phone #: +48 24 366 41 30 (31)
Work fax #: +48 24 366 41 45
Work e-mail address:
Experienced with satellite operations? (YES or NO): YES
(B4.) Call sign at contact site: SP5ZBA/5
(B5.) Station and equipment data
(To be used during the ARISS amateur radio contact)
We require 2 complete radio stations at your event site. See: ARISS Contact Requirements.
Radio Station #1
Transceiver to be used (manufacturer/model): ICOM IC-706mkIIg
Does it have memories? (YES or NO): YES If yes, number of memories: 107
If yes, is the memory considered tunable like a VFO? YES
Output Power (Watts): 2,5-50W (144 MHz – 146 MHz)
Frequency range (MHz): HF / 50 MHz / 144-146 / 430-450
Frequency steps: 1, 10, 50, 100 Hz, 1, 5, 9, 10, 12.5, 20, 25, 100 kHz
Station equipped with an RX preamplifier? (YES or NO): YES (built in trx)
If YES, manufacturer and model of Preamplifier: ICOM
Station equipped with a TX amplifier? (YES or NO): NO
If YES, manufacturer and model of amplifier:
If YES, maximum output power of TX amplifier (Watts):
Is the radio capable of a non-standard split? (YES or NO): YES
Antenna type (VERTICAL, SATELLITE (AZ/EL?), OTHER) [specify]: CROSS YAGI
If commercially built, manufacturer and model:
Antenna gain (dbd or dbi): 10,2 dBd
Number of elements: 2 x 6el.
Polarization (HORIZONTAL, CIRCULAR, or VERTICAL): CIRCULAR - RHCP
Antenna equipped with a rotator? (NONE, AZIMUTH ONLY, or AZ/EL): AZ/EL
Satellite tracking program available? (YES or NO): YES
If YES, name of tracking program: ORBITRON
Do you have Automatic Antenna Control? (YES or NO): YES
VHF Packet capability? (YES or NO): NO
VHF SSTV capability? (YES or NO): NO
Do you have phone patch capabilities? NO
SWR/Power output meter to be used (manufacturer/model): MFJ HF/VHF SWR ANALYZER MODEL MFJ 259B + meters built in transceiver
Coax cable to be used: H1000
Radio Station #2
Transceiver to be used (make/model): Yaesu FT-857D
Does it have memories? (YES or NO): YES If yes, number of memories: 200
If yes, is the memory considered tunable like a VFO: YES
Output Power (Watts): 50
Frequency range (MHz): HF / 50 MHz / 144-146 / 430-450
Frequency steps: 10 Hz (CW/SSB), 100 Hz (AM/FM/WFM)
Station equipped with an RX preamplifier? (YES or NO): NO
If YES, manufacturer and model of preamplifier:
Station equipped with a TX amplifier? (YES or NO): NO
If YES, maximum output power of TX amplifier (Watts):
Is the radio capable of a non-standard split? (YES or NO): YES
Antenna type (VERTICAL, SATELLITE (AZ/EL?), OTHER) [specify]: VERTICAL ¼ WAVE
If commercially built, manufacturer and model:
Antenna gain (dbd or dbi): 0 dBd
Number of elements: ¼ wave
Polarization (HORIZONTAL, CIRCULAR, or VERTICAL): VERTICAL
Antenna equipped with a rotator? (NONE, AZIMUTH ONLY, or AZ/EL): NONE
Satellite tracking program available? (YES or NO): YES
If YES, name of tracking program: ORBITRON
Do you have Automatic Antenna Control? (YES or NO): NO
VHF Packet capability? (YES or NO): NO
VHF SSTV capability? (YES or NO): NO
Do you have phone patch capabilities? NO
SWR/Power output meter to be used (manufacturer/model): MFJ HF/VHF SWR ANALYZER MODEL MFJ 259B + meters built in transceiver
Coax cable to be used: H1000
(B6.). Please note any antenna obscuration data for the site of the radio contact:
Azimuth degrees / Elevation degrees:0 (North) / 5
45 / 2
90 (East) / 5
135 / 0
180 (South) / 0
225 / 3
270 (West) / 10
315 / 10
360 (North) / 5
(B7.) Do you plan to do a live re-transmission or webcast? If a live re-transmission, how and on what frequency and mode? If a webcast, what is the Web site address?
NO - at the moment - but may by questions from Ground-Station only on 80 meters SSB - for other stations participating in “First Lesson of Amateur Radio”, witch will listen to our QSO on 2 meters.
ARISSapp16.doc
10 December 2007