Complete the form below to change your name, address, etc.
This information will be used to change any listings on the Web site
and will also be forwarded to the EERA Treasurer.

PREFERRED TITLE: Mr. Mrs. Ms. Miss Mrs. Dr. POSITION: Teacher Adjunct Instructor Adjunct Lecturer Adjunct Professor Instructor Lecturer Asst.Professor Assoc. Professor Professor Professor Emeritus Position Other Than Those Listed Above:: Name: University: College: Department: Office Number and Building Number: Office Street Address Number and Street City (of your university) State or Province (of your university) Zipcode or Postal Code (of your university) Country (of your university) Office Phone Office Fax Office Email Home Street Address Number and Street City (of your home): State or Province (of your home) Zipcode or Postal Code (of your home) Country (of your home) Home Phone Home Fax Home Email If you are available for computer video conferencing, type a "yes" here: Are you on the EERA Board of Directors, a Regional Representative, A Division Chairperson? A SIG Head? JRE Board of Directors? Other position? If so, specify your position here: Are you done? If so, click on Send. If for some reason you need to clear all the lines above, click on Reset. Thank you for the data