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Please create a user profile by completing the form below.
Account Information:
Please enter your email address below. You will use this email address to login to the application system.
Choose a password of at least 4 and no more than 12 characters.
Type your name exactly as you wish it to appear on your application; you will not be able to make changes later.
Choose a security question and provide an answer of at least 4 characters. This will be used if you contact SSRC with questions regarding your account or if you have lost your password.
Required fields are marked *
*Login Email:
*Re-type Login Email:
*Password:
*Re-type Password:
*Salutation:
Select One
Dr.
Mr.
Ms.
Professor
Gender:
Select One
Female
Male
*First Name:
Middle Name/Initial:
*Last Name:
*Security Question:
What city/town were you born in?
What elementary school did you attend?
*Security Answer:
*Re-type Security Answer:
The Information You Provide Here and Your Affiliation with the SSRC:
The Council periodically contacts scholars in its mission to build intellectual communities, social science capacity and to address issues of public concern. If you would like to be contacted based on the information you provide herein regarding your disciplinary, regional, methodological and policy related expertise, please indicate this below.
Yes:
please contact me, as deemed appropriate based on my areas of expertise, regarding other aspects of the Council's work.
No:
please limit the use of the information I provide here to fellowship review.