Centennial
Forester
Collection
Biographical Data Form
Please complete this form
(print or type)
and mail to:
Attn.: Centennial Forester Collection
Forest History Society, Inc.
2925 Academy Rd.
Durham, NC 27705 |
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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.
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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