APPLICATION FOR MEMBERSHIP
I hereby apply for membership in the Czechoslovak Studies Association. Enclosed
find my curriculum vitae.
I understand that this application is subject to approval
of the Executive Committee
Name (Please Print)_____________________________________________________________
(Please note which address is preferred)
Mailing Address________________________________________________________________
_____________________________________________________________________________
Institutional Address_____________________________________________________________
______________________________________________________________________________
E-Mail and Telephone Number(s)__________________________________________________
Issues of the CSA Newsletter now include brief information (i.e., affiliation,
research or professional interests, recent publications or relevant professional
activities) about new members. Material for these short entries will be derived
from the curriculum vitae submitted by applicants. Because some persons do not
include such information on their curriculum vitae, please indicate below your
specific research interests and/or areas of scholarly specialization.
Current research interest(s) [limit two]_______________________________________________
______________________________________________________________________________
Area(s) of specialization__________________________________________________________
Scholarly/professional discipline (i.e., history, political science, linguistics,
literature, librarian, archivist....)
______________________________________________________________________________
MAIL TO: Dr. Gregory C. Ference, Secretary-Treasurer, CSA, Department of History, Salisbury State University, Salisbury, MD 21801 USA
Membership:
| Salary over $25,000 annually |
$15.00
|
| Salary under $25,000
annually |
$10.00
|
| Student |
$5.00
|
| Retired |
$8.00
|
| FOR
AIR MAIL ADD |
$4.00
|
Payable only in US funds drawn on a US bank.
Multiple year payments are accepted.
|