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The Graduate School of Education and Human Development

The George Washington University

Public Engagement in an Increasingly Diverse World: A Partnership Focus

Scholars Interested in Summer Institute 2004

RETURN BY FEBRUARY 26^TH, 2004

INFORMATION FORM

Name:
School Address:

Permanent Address:

Home #: __________________________	School #: _________________________		Cel #: __________________________
Email:
Focus of Doctoral Work:

Year in Doctoral Program:
University where doctoral work is taking place (University/Location/Program):

Faculty Advisor:		Dissertation Advisor:

Focus of interest in Summer Institute 2004:



Related work:



Opportunities you would like to take part in while in DC:

Questions you would like addressed:

For further information contact:
Maxine B. Freund, Ed.D. Professor and Director of Special Projects The Graduate School of Education and Human Development The George Washington University 202-994-1547; fax: 202-994-2265 mfreund@gwu.edu				Rashard J. Wright Doctoral Student, Holmes Scholar The Graduate School of Education and Human Development The George Washington University 804-358-5025; 804-683-4687 rjwright@gwu.edu

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