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ENCYCLOPEDIA OF
WOMEN AND ISLAMIC CULTURES SCHOLARS DATABASE
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NOTE : Any information on this template that you DO NOT wish to be included in the published version of the online Scholars Database, please list in the space provided at the end this form.
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Fields marked with an * are required for the published database. If the field is not applicable to your situation, please indicate N/A in the space provided
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PERSONAL INFORMATION
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| Last name* |
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First name* |
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| Middle name |
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Mailing address
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| City |
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State/Province |
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| Postal code |
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Country |
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| Home phone |
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Home fax |
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| Preferred e-mail* |
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| Personal webpage(s) |
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CURRENT PROFESSIONAL STATUS
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| Current institutional / university affiliation |
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| Department/Center affiliation |
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| Starting date of position |
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Title (ex. Associate Professor, Graduate Student) |
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Institutional address
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| City |
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State/Province |
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| Postal code |
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Country |
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| Phone |
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Fax |
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| Institutional/Project webpage(s) |
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EDUCATIONAL BACKGROUND
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| Highest degree awarded |
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In what field or discipline |
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| Degree received from (school name) |
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| Thesis or dissertation title |
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If currently in degree program, what degree are you pursuing (BA, MA, PhD) |
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What year will you complete your degree |
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| Proposed thesis or dissertation title* |
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| PREVIOUS PROFESSIONAL EXPERIENCE |
| Please list your MOST RECENT positions with most recent listed first and the institutions/companies where these positions were located (research assistantships and teaching assistantships if relevant). If none is available, please write the word "N/A" in the field. If possible, provide a brief description of your responsibilities for each position. |
| Institution or Company |
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| Address |
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| Most recent position |
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Dates of employment |
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| Brief description of responsibilities |
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| Institution or company |
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| Address |
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| Position |
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Dates of employment |
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| Brief description of responsibilities |
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| Institution or company |
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| Address |
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| Position |
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Dates of employment |
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| Brief description of responsibilities |
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AREAS OF SPECIALIZATION |
| Country or countries of specialization |
Press and hold down Ctrl key to select more than one option.
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| Historical Regime(s) of specialization |
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| Regional area(s) of specialization |
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Historical time period(s) of specialization (Please specify the
period(s) of time which your interests cover) |
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| Please select from the menu which keyword(s)
you would like to be searchable for your
template |
Press and hold down Ctrl key to select more than one option.
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Research interests (Please provide a brief summary in the space provided)
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Please list any other fields of expertise or experience |
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Current and ongoing projects |
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| Languages (Please list the languages you are familiar with and indicate your degree of fluency): |
| Language |
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Fluency |
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| Language |
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Fluency |
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| Language |
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Fluency |
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| Language |
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Fluency |
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| Language |
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Fluency |
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| Organization/association memberships |
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| HONORS OR AWARDS Please list any honors or awards received in the space provided |
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| PUBLICATIONS (Please list five most recent and/or relevant works to women and Islamic cultures) |
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Please add any additional information about yourself you would like to be included in the database in the box below
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PERMISSION TO PUBLISH TEMPLATE |
| Do we have your permission to include this template in a published form of the EWIC database? *
Yes
No
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NOTE : If there is any information on this template that you DO NOT wish to be included in the published version of the EWIC Scholars Database, please indicate which fields you would like to exclude in the space below * |
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