Catholic Theological Society of America

Updates/Corrections

Correction Form

Please fill out this form COMPLETELY to get your information added or corrected in the online directory. Please note: information will only changed on request. So please check your online listing before filling out this form and indicate "remove old info" or "keep old info" in fields where appropriate. This will allow us to keep the online directory up-to-date with members' most current information.


Full Name:	Title:

Gender: male female Ethnicity:

School/Institution Name:

School/Institution Street Address:
City: State/Province/Territory:
Zip: Country:

Preferred Mailing Street Address:
City: State/Province/Territory:
Zip: Country:

Include Preferred Mailing Address in online listing: Yes No

Department:

Rank (Assoc. Professor, Asst. Professor, etc.):

Current Professional Status (teaching position, dept. chair, etc.) :

Email address: Email address required for proper processing of form

You must provide either a valid Office or Home phone number
Office Phone:	Include in online listing: Yes No

Fax Phone:	Include in online listing: Yes No

Home Phone:	Include in online listing: Yes No

Doctoral Degree Information
	Theology/Related Field:
	Received (Year):
	Granting Institution:
	Dissertation Title:
	Dissertation Publication Date:
	Publication Agency:

Major Field of Study:

Areas of Specialization:

Three recent publications (title, publisher, publish date): Start with most recently published item first and list in reverse chronological order
1.

2.

3.

Successful submission of your information will result in the display of a confirming page.