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Experts Database Registration Form
Experts Database Registration Form
Name
*
Title/Position
*
School or Department
*
Office phone
Cell phone number
*
Please indicate if you want your cell listed for media to contact you
*
Yes
No
Email
*
Faculty profile website
*
Areas of expertise (ideally between 2-6; please use lay terms to describe)
*
Are there any areas or issues on which you would prefer not to comment? (please list)
Languages spoken (in addition to English)
Would you like your photo to appear with your listing?
*
Yes
No
If yes, please upload
Have you previously given media interviews?
*
Yes
No
Have you taken part in Carleton media training?
*
Yes
No
If not, would you be interested in taking it?
Yes
No
Additional comments/considerations (not to be published)
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