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1985 - Mycological Society of America

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EMPLOYEE DATA FORM<br />

MYCOLOGICAL SOCIETY OF AMERICA PLACEMENT SERVICE<br />

Please type or print all entries clearly.<br />

, 1. Record Number : (leave blank)<br />

2. Name: last<br />

first<br />

initial<br />

3. Department or Organization: - -<br />

4. University or Street: -----<br />

5. City:<br />

6. State or Province (abbrev.) : -<br />

7. Zip or Postal Code: -<br />

8. Country (abbrev. if >10 characters): -<br />

9. Phone Number:<br />

10. .Degree 1 (M.S. or B.s./B.A.) , Year, Pr<strong>of</strong>essor, Institution:<br />

11. Degree 2 (Ph.D.), Year, Pr<strong>of</strong>essor, Institution:<br />

12. Postdoctoral experience. Year, Pr<strong>of</strong>essor, Institution:<br />

13. Interests. Circle letters from the following:<br />

A. Morphology B. Taxonomy C. Physiology<br />

D. Cytology E. Biochemistry F. Cell Biology<br />

G. Genetics H. Ecology I. Molecular Biology<br />

J. Pathology K. Mycorrhizae L. Medical<br />

M. Development<br />

N,O = other<br />

14. Organisms <strong>of</strong> interest. Circle one or more letters from list:<br />

. .<br />

A. Mycetozoa B. Zoospor ic Fungi C. ~ygomycetes<br />

D. Ascomycetes E. Basidiomycetes F. Deuteromycetes<br />

G. Trichomycetes H. Pathogenic Fungi I. General

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