Database of experts working in Carpathian Mountains

I. Individual Contact
1. Salutation Mr., Ms., Dr., ...

2. Given (first) Name

3. Middle name

4. Family (last) Name

5. Position or Title if applicable

6.Organization/Affiliation if applicable


II. Contact Information

7. Mailing Address:
Line 1
Line 2
Line 3

City

Province or State

Postal Code

Country Name:

8. Telephone

Country City or Area Code Tele Number

9. Fax Number

Country City or Area Code Fax Number

10. Internet

E-mail
World Wide Web address  http://


III. Interest Information
11. How would you identify your principal type(s) of work?
a. activism
b. administration
c. college or graduate studies
d. policy development
e. project implementation
f. research
g. teaching
h. other (please describe below):


12. Please list your subject specialization(s) or interests(s):

Enter one subject specialization per text box.






13. Please provide a bibliography of any mountain related publications (published or not) you have authored, co-authored, edited or co-edited.


14. Membership in the umbrella organizations/networks etc.


15. Affiliation with other organizations


16. Comment/short narrative (successful actions, finished projects, etc)
(maximum 50 words)


      Thank you very much for your cooperation! If you have any questions, please contact Carpathian Heritage Society (e-mail: office@carpathians.pl).
      Please click the 'Submit questionnaire' button to add your information to database.