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ICP Member Background Information

 

Dear ICP member,

As an ICP member, you are requested to complete the list of background information items below so that we may update and further build our membership database.

Thank you for your cooperation.

1. Last Name (Family Name)

2. First Name

3. Middle Name

4. Title

5. Current Work Address

6. City

7. State

8. Zip Code

9. Country

10. Telephone (Country Code)

11. Home Telephone Number

12. Office Telephone Number

13. Cellphone Number

14. Email Address

15. Highest Academic Degree Obtained

16. Institution from which Highest Degree was obtained

17. Year in which Highest Degree was obtained

18. City in which Highest Degree was obtained

19. State in which Highest Degree was obtained

20. Country in which Highest Degree was obtained

21. Other Degrees (when, where)

22. Year of ICP Membership

23. ICP Elected and Appointed Roles

24. Languages You Speak

25. List Your Academic Specializations

26. List Your Research Interests

27. List Your Specialist Areas/Skills

28. List Selected Publications

29. List Conventions Attended

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Thank you for participating in this short survey. This will help ICP update its membership database.

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