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Northern California Pre-Tenure Faculty Forum Registration

Name:

Institution:

Department/Discipline:

Email:

Phone Number:

Tenure Status:

Do you give permission for us to share your information publically (on our website)?

Yes

No

 Please provide a short bio (no more than two paragraphs) about yourself and indicate your research or teaching areas of interest:



If you are having trouble submitting this form, please copy the form into an email, type in your information and send to ap_diversity@pacific.edu.