Centennial
Forester
Collection
Biographical Data Form
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Please complete this form
(print or type)
and mail to:
Attn.: Centennial Forester Collection
Forest History Society, Inc.
701 William Vickers Ave.
Durham, NC 27701 |
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Today's
Date (MM/DD/YYYY)
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Your
Last Name
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Your
First Name
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Your Middle Name
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Your Permanent
Street Address
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City, State/Province
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Zip Code
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Country
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Your Date of Birth
(MM/DD/YYYY)
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City Where You Were
Born
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State/Province
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Country
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Colleges/Universities
You Attended
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Degrees Awarded
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Date Received
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Name of Your Present
Employer
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Your Current Work
Position Title
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Street Address of
Your Present Employer
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City, State/Province
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Zip Code
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Country
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Names of Previous
Major Employers
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Your Work Position
Title
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Your Work Location
(City/Province, State, Country)
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Years Employed
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Titles of Major Publications Which You Authored or Co-Authored
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Publisher
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Year of Publication
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Titles of Any
Biographical Publications in Which You Are Listed
(i.e. "Who's Who")
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Date Listed
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Titles
of Awards/Honors You Have Received
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Name
of Entity Granting Award/Honor
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Date
Awarded
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In
addition to capturing your "snapshot in time," we would like to have
your "snapshot in words." Please give us your thoughts below.
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What
do you think is the most important forestry issue that the profession
faces in the year 2000?
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What
do you think the forestry profession will be like in the year 2100?
(i.e.,
foresters' relationship with the public, tools used in forestry, methods of
forest management, etc.)
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"I
hereby authorize the Forest History Society to use this
information and my photograph(s) for educational or research purposes."
(Please sign below.)
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Return to Centennial
Forester Collection Description Page
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