Center for the Study of the American South
Application for Visiting Scholars
Personal Information
Name ____________________________________________________________________________
Social Security Number ____________________________ Home Phone ______________________
Home Address _____________________________________________________________________
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Education
University attended ____________________ Degree conferred _____ Date _________________
University attended ____________________ Degree conferred _____ Date
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University attended ____________________ Degree conferred _____ Date
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Employment
Position held ________________________________ Dates of employment __________________
Position held ________________________________ Dates of employment __________________
Position held ________________________________ Dates of employment __________________
Position held ________________________________ Dates of employment __________________
Personal Statement
On a separate sheet, briefly describe your background and qualifications.
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