Sewell Reviewer Profile Forms

1. Reviewer Information

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1. What is your first name? (Required.)

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2. Last name? (Required.)

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3. Title? (Required.)

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4. Department? (Required.)

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5. Institution? (Required.)

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6. Degree? (Required.)

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7. Anticipated degree and date (if degree is in progress)?

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8. Today's date? (Required.)

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9. Project you are reviewing? (Required.)

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10. Are you a:

Professional/Practitioner

Educator

Professional/Practitioner and Educator

Other (please specify)

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11. Work address?

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12. Work email?

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13. Phone number?

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14. Home address?

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15. Home email?

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16. Phone number?

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17. Which is your preferred mailing address? (Required.)

Work

Home

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18. May we credit you as a reviewer when/if the text publishes? (Required.)

Yes

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19. May we quote remarks from your review? (Required.)

Yes, using my full name

Yes, using my initials only

No, thank you

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20. Would you like to be considered for future reviews? (Required.)

Yes

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21. Educators, please provide information on the courses you teach - Course Title(s):

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22. Educators, please provide the ANNUAL ENROLLMENT for each course you teach:

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23. Educators, please provide the CURRENT TEXTBOOK in use for each course you teach:

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24. If applicable, would you consider adding an informatics text to your issues and trends course? (Required.)

Yes

No (please explain why not)

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25. Areas of specialty or research interest?

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26. Are you interested in writing a health science textbook, reference, or related publication, or reviewing works in progress? If so, please indicate your area of interest below. We''d love to work with you!

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27. What text/reference/review books have been particularly helpful to you?

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28. Do you require/recommend a dictionary to your students? If so, which?

Yes, recommend

Yes, require

Title of dictionary

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* 1. What is your first name? (Required.)

Question Title

* 2. Last name? (Required.)

Question Title

* 3. Title? (Required.)

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* 4. Department? (Required.)

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* 5. Institution? (Required.)

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* 6. Degree? (Required.)

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* 7. Anticipated degree and date (if degree is in progress)?

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* 8. Today's date? (Required.)

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* 9. Project you are reviewing? (Required.)

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* 10. Are you a:

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* 11. Work address?

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* 12. Work email?

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* 13. Phone number?

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* 14. Home address?

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* 15. Home email?

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* 16. Phone number?

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* 17. Which is your preferred mailing address? (Required.)

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* 18. May we credit you as a reviewer when/if the text publishes? (Required.)

Question Title

* 19. May we quote remarks from your review? (Required.)

Question Title

* 20. Would you like to be considered for future reviews? (Required.)

Question Title

* 21. Educators, please provide information on the courses you teach - Course Title(s):

Question Title

* 22. Educators, please provide the ANNUAL ENROLLMENT for each course you teach:

Question Title

* 23. Educators, please provide the CURRENT TEXTBOOK in use for each course you teach:

Question Title

* 24. If applicable, would you consider adding an informatics text to your issues and trends course? (Required.)

Question Title

* 25. Areas of specialty or research interest?

Question Title

* 26. Are you interested in writing a health science textbook, reference, or related publication, or reviewing works in progress? If so, please indicate your area of interest below. We''d love to work with you!

Question Title

* 27. What text/reference/review books have been particularly helpful to you?

Question Title

* 28. Do you require/recommend a dictionary to your students? If so, which?

Question Title

* 29. If you can recommend a reviewer, please provide area of interest and email address.

1. What is your first name? (Required.)

2. Last name? (Required.)

3. Title? (Required.)

4. Department? (Required.)

5. Institution? (Required.)

6. Degree? (Required.)

7. Anticipated degree and date (if degree is in progress)?

8. Today's date? (Required.)

9. Project you are reviewing? (Required.)

10. Are you a:

11. Work address?

12. Work email?

13. Phone number?

14. Home address?

15. Home email?

16. Phone number?

17. Which is your preferred mailing address? (Required.)

18. May we credit you as a reviewer when/if the text publishes? (Required.)

19. May we quote remarks from your review? (Required.)

20. Would you like to be considered for future reviews? (Required.)

21. Educators, please provide information on the courses you teach - Course Title(s):

22. Educators, please provide the ANNUAL ENROLLMENT for each course you teach:

23. Educators, please provide the CURRENT TEXTBOOK in use for each course you teach:

24. If applicable, would you consider adding an informatics text to your issues and trends course? (Required.)

25. Areas of specialty or research interest?

26. Are you interested in writing a health science textbook, reference, or related publication, or reviewing works in progress? If so, please indicate your area of interest below. We''d love to work with you!

27. What text/reference/review books have been particularly helpful to you?

28. Do you require/recommend a dictionary to your students? If so, which?

29. If you can recommend a reviewer, please provide area of interest and email address.