Centennial Forester
Collection
Biographical Data Form

 


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

 

Today's Date (MM/DD/YYYY) 

  


 

Your Last Name

Your First Name

Your Middle Name

 

 

 

 

Your Permanent Street Address

City, State/Province

Zip Code

Country

 

  

  

  


 

Your Date of Birth (MM/DD/YYYY)

 

 

City Where You Were Born

State/Province

Country

 

  

  

 

Colleges/Universities You Attended

Degrees Awarded

Date Received

 

  

  

 

 

  

 

  

  

 

Name of Your Present Employer

 

 

Your Current Work Position Title

 

 

Street Address of Your Present Employer

City, State/Province

Zip Code

Country

  

  

  

  

 

Names of Previous Major Employers

Your Work Position Title 

Your Work Location (City/Province, State, Country)

Years Employed

  

  

  

  

 

  

  

  

 

  

  

  

 

  

  

  

 

Titles of Major Publications Which You Authored or Co-Authored

Publisher

Year of Publication

 

  

  

 

  

  

 

  

  

 

  

  

 

Titles of Any Biographical Publications in Which You Are Listed
(i.e. "Who's Who")

Date Listed

 

  

  

  

 

Titles of Awards/Honors You Have Received

Name of Entity Granting Award/Honor

Date Awarded

  

  

  

  

  

  

  

  

  

In addition to capturing your "snapshot in time," we would like to have your "snapshot in words." Please give us your thoughts below.

What do you think is the most important forestry issue that the profession faces in the year 2000?

 

 

 

 

 

 

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.)

 

 

 

 

 

 

"I hereby authorize the Forest History Society to use this information and my photograph(s) for educational or research purposes." (Please sign below.)

 

 


Return to Centennial Forester Collection Description Page
http://www.foresthistory.org/safbio.html
Last update September 12, 2000.
Forest History Society, 2000.