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Accession Number: 259939

Name:

Institution:

School/Division:

Department/Section:

Street/Address:

City:

State/Province:

Zip:

Country:

Phone:

Fax:

E-mail:

Current Position(s):

Year(s) Appointed:

Academic Qualifications:

Please list your academic qualifications in chronological order starting with your earliest degree.

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4.

Memberships:

(Please spell out abbreviations or use the picklist below)

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6.

Other Selected Societies and Associations:

(You may pick multiple items from this list - on the Macintosh the Apple key, and on Windows-equipped PCs the Control key, allow you to select multiple individual entries.)

Positions Held:

Starting with the most recent, please provide your previous research related staff or faculty positions, including fellowships, visiting lectureships, private sector positions and foreign appointments. Please be sure to include previous positions held at your current institution.

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Expertise:

Please write up to 1500 words (in the first person) about your current and planned research interests and expertise. This is the most important section of the questionnaire, and we encourage you to complete it with as much detail as possible.

You may hit your "Return" or "Enter" key to start a new line (hit it twice to start a new paragraph).

Other Expertise:

Please include here any relevant information about special honors, skills, experience, or activities in two general areas:

1. Academic - Honors & Awards, Special academic positions, Committee memberships, Grant review panels, Editorships, etc.


2. Business - Business experience, Consultancies, Board memberships, Expert witness, Media experience, etc.

If any of this information appears in the Academic Section above please move it down to this box now.

Languages:

(Please do not include English)

Language 1. - language: read, write, speak (Fluent, Functional, or Basic):

Language 2. - language: read, write, speak (Fluent, Functional, or Basic):

Language 3. - language: read, write, speak (Fluent, Functional, or Basic):

Language 4. - language: read, write, speak (Fluent, Functional, or Basic):

Language 5. - language: read, write, speak (Fluent, Functional, or Basic):

Language 6. - language: read, write, speak (Fluent, Functional, or Basic):

Language 7. - language: read, write, speak (Fluent, Functional, or Basic):

Patents:

Please give details (Title, Patent/Serial Number, Dates, Overseas Patent Grants, Ownership) of up to five patents which you have been granted or which you have applied for but not yet been granted.

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3.

    Title:
    Country:
    Patent/Serial Number:
    Year Filed/Granted:
    Ownership:

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    Title:
    Country:
    Patent/Serial Number:
    Year Filed/Granted:
    Ownership:

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    Title:
    Country:
    Patent/Serial Number:
    Year Filed/Granted:
    Ownership:

Grants and Contracts:

Please enter current or recent grants or contracts you have received
(Title, Sponsor, Dates, Amount).

1.

Project Title:
Sponsor:
Other Sponsor:
Start Date (Month, Year):
End Date (Month, Year):
Amount of grant:$

2.

Project Title:
Sponsor:
Other Sponsor:
Start Date (Month, Year):
End Date (Month, Year):
Amount of grant:$

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Project Title:
Sponsor:
Other Sponsor:
Start Date (Month, Year):
End Date (Month, Year):
Amount of grant:$

4.

Project Title:
Sponsor:
Other Sponsor:
Start Date (Month, Year):
End Date (Month, Year):
Amount of grant:$

5.

Project Title:
Sponsor:
Other Sponsor:
Start Date (Month, Year):
End Date (Month, Year):
Amount of grant:$

Publications:

Please enter your five most recent relevant publications. Please enter in the following order: Author(s) (Last Name, First Name/Initials), Title, Journal/Publisher, Volume: Page, Date.

Typical Citation:

    Jacobson, K.B., and Arlinghaus H.F., Utilization of resonance ionization spectroscopy for DNA sequencing, Anal. Chem., 64: 315A-328A, 1992.

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Keywords:

List keywords or key phrases which best describe your research expertise. Please use the most commonly-used form, e.g. "solid state chemistry" instead of "chemistry of solid states", for greater searchability. Please separate keywords or phrases by commas (,) or semicolons (;).

Industrial/Commercial Relevance:

Using general phrases, keywords,or sentences, describe any areas where your expertise may haveindustrial or commercial value.

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