Program on Central Asia and the Caucasus

Database Questionnaire

By filling out this form:

You include your information in our comprehensive database of scholars and others interested in Central Asia, which we use to facilitate contacts (including an email about general resources sent ca. once annually);
You can select the option to include your address in our list for occasional mailings about the activities, resources and publications of the Harvard Program on Central Asia and the Caucasus;
You can select the option to include your email address in our distribution lists for frequent announcements related to Central Eurasian studies at Harvard (the Central-Asia-Harvard-List) and/or worldwide (the Central-Eurasia-L Annoucement List).

Surname [family name]:

Given Name(s) [first name]:

Title [Prof., Dr., Mr., Ms., etc.]

Academic Affiliation or Study Program [if any]:

Work Address: Street/No.:

City:

Country:

Home Address: Street/No.:

City:

Country:

Phone [indicate home and/or office]:

Fax:

Email address (indicate the best address for reaching you):

Alternate email addresses (include any address that we can use if we are unable to reach you by the email address above):

Preferred mailing address:
work home

Do you want to be included in the email distribution lists for announcements related to Central Asia Studies?
    1) Harvard Program on Central Asia and the Caucasus mailing list (for infrequent notices about activities, resources and publications of our program):
    Yes No
    2) Central-Asia-Harvard-List (for Central Asian studies at or around Harvard University):
    Yes No
    3) Central-Eurasia-L (for announcements related to Central Eurasian studies world wide):
    Yes No

Program on Central Asia and the Caucasus
Davis Center for Russian and Eurasian Studies
1730 Cambridge Street Rm S-320
Cambridge, MA 02138
centasiafas.harvard.edu
617-496-2643 | 617-495-8319 (fax)