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To be considered for inclusion in the CW CESU expert database, please complete and submit the following form:

 

First Name: *      Middle Initial:     Last Name: *

Prefix: *

Agency or Institution Affiliation: *

Department: *        Position: *

Street Address: *

City: **         State: *          Zip Code: *

Phone: *    Extension:         Fax:
                  (Example: 3016897100)

Email Address: *       

Web CV Address: *

Additional Web Address (if applicable):

Degree (latest): *     Year Granted: *

Granting Institution: *

Area of Expertise: *

Keywords and/or Research Interests: *

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If your information already appears in the experts database but needs to be updated or corrected, please email the changes to Barbara Jenkins.

     

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