Marketing and Communications at Benedictine University

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Faculty/Administrator Information Sheet

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Marketing and Communications
Faculty/Administrator Information Sheet

This fact sheet will be filed in the Marketing and Communications Office for use in University publications and in preparing news releases and/or feature stories. We ask your cooperation in providing us with these facts at your earliest convenience. Also, please keep us posted of any additions or changes.

* Denotes required field

Date*:

Name*:

E-mail address*:

Home Address/City/State/Zip*:

Local Address (if different from above):

Home Phone Number*:

Cell Phone Number:

Date of Birth:

Place of Birth:

Marital Status:

Spouse's Full Name:

Children's Names and Ages:

Military Service (List dates you served and highest rank attained):

Current Rank or Title at Benedictine University*:

Your First Rank or Title at Benedictine University:

Describe your positions at the University, listing present position first:

List the degrees you hold, the institution and year each degree was granted (ie.,:B.A./Benedictine University/1980):

Title/Subject of Thesis of Dissertation:

List the positions you held before joining the University. Include your title, nature of position, places and dates (by years):

Describe your areas of expertise or special interest:

List civic and religious affiliated activities in which you are or have recently been involved:

List memberships/offices you hold in honorary and professional organizations. Include state, national and local groups. If possible, give dates.

Please list books, bulletins, journals or magazine articles you have written which you feel are significant.

What is your hometown?

Local or Neighborhood Newspapers: