ISHR Information Form

Please type or print responses to items. Return to:

Prof. Jean Dietz Moss
Secretary-General ISHR
Department of English
The Catholic University of America
Washington, DC 20064

Titles (Mr. Ms., Prof. Dr. Dr., etc.):_________________

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First/Given Name(s) or Initial(s):_______________________________________________

Middle Name(s):________________________________________________________

Address:_________________________________________________________________

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Day Phone:(      )_____________________  Evening Phone:(      )______________________

Fax Number(s):(      )______________________

E-mail address:____________________________________________

Research Interests: __________________________________________________________

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