ECPN Listserve Core Database Information

Please copy/paste and fill in the requested info into your email to cxd130@psu.edu and cc to irinaholmes@preventionresearch.org

Name:

Highest degree earned:

Current position:

Current institution:

Address:

City:

State:

Zip:

Early career? (yes or no):

Mid-career? (yes or no):

Senior career? (yes or no):

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