S&EF Directory



home
members
institutions
include me
bulletin
search
order
feedback
related links
site map
contact us

  Directory Inclusion Form
 

Name and Address:
Last Name:
First Name:
Department:
Title:
Institution:
Phone:

Mail Address:

E-Mail:
Fax #:
Homepage Url:

 

 

 

 

 

 

 

 

 





Educational Background:  
Undergrad Degree: Year Institution
Master's Degree:      Year Institution
Terminal Degree:   Year Institution

 

 

 

 

 

 

 


 

Concise Description of Research Interests (Approximately 100 words):

 

Most Recent/Significant Publications (up to 3):

 

Special Honors, Awards, and/or Interests:



Ethnicity:  
General Ethnicity:
Specific Ethnicity or Tribe (if applicable):

 

 

 

 



Do you consent to have your photograph included in this on-line directory? Yes No

To include your photo in the on-line directory, please submit either a JPEG or GIF file or
a photograph.

How will you submit your photograph?

I will enclose the picture in an email message.
I will send the photo via postal service to:
I have already submitted a photo.

JJ Jackson
MIT Provost's Office
77 Mass. Ave., Rm 26-161
Cambridge, MA 02139
Voice: 617-253-7261
FAX: 617-258-9176
email: jj@mit.edu

Please download my photo from the Web. The URL is:

 





top of page
   

home | members | institutions | include me | bulletin board | search | order | feedback | links | sitemap | contact us

 

  Copyright © MIT 2000
Sponsored by the MIT Provost's Office
Last updated on 06/28/2000 by www-provost@mit.edu