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UTS Experts Entry Form

Please give us as much contact information as you can - media opportunities can be missed if we can't find you quickly.

Any after hours contact information you give us will be reserved for Media Office use only.

(*Please ensure you fill in any items marked with a red asterisk.)

Title:
First Name:*
Last Name:*

Position:*
School/Department/Program:
Faculty/Unit/Division:*
Other Faculty/Unit/Division:

Work Tel:* Home Tel: Mobile: Facsimile:
Work Email:* Home Email: Website:

Office Contact:
The name and telephone number of someone in the office who usually knows your whereabouts.
Academic Expertise:*
Key word searches of the database will work best if you can describe your areas of expertise in everyday language. The more keyword or key phrase possibilities you can give the better.
 
Thank you for completing this application