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EMPLOYER DATA FORM<br />

MYCOLOGICAL SOCIETY OF AMERICA PLACEMENT SERVICE<br />

Please type or print all entries clearly.<br />

1. Record Number: (leave blank)<br />

2. Organization Name:<br />

3. Position Title:<br />

4. Interests. Circle letters from the following:<br />

A. Morphology B. Taxonomy C. Physiology<br />

D. Cytology E. Biochemistry F. Cell Biology<br />

G. Genetics H. Ecology I. Molecular Biology<br />

J. Pathology K. Mycorrhizae L. Medical<br />

M,N,O = other<br />

5. Fungal Group. Circle one or more letters from list:<br />

A. Mycetozoa B. Zoosporic Fungi C. Zygomycetes<br />

D. Ascomycetes E. Basidiomycetes F. Deuteromycetes<br />

G. Trichomycetes H. Pathogenic Fungi I. General<br />

J ,K,L,M,N,O = other<br />

6. Degree or Training Desired:<br />

7. Skills Desired. Circle one or more from list:<br />

A. Teaching B. Research C. Administration<br />

D. Public Service<br />

E-K = other. Please specify.<br />

8. Terms <strong>of</strong> Appointment:<br />

9. Closing Date:<br />

10. Contact Person:<br />

Dept. or Organization:<br />

12. University or Company:<br />

13. Street:<br />

14. City: State or Province:<br />

16. Zip or Postal: 17. Country:<br />

17. Telephone Contact:<br />

Return to: Dr. M. S. Fuller. Dept. <strong>of</strong> Botany. Univ. <strong>of</strong> Georgia.<br />

Athens, GA 30602

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