ContractNegotiating Agreement • April 13th, 2017
Contract Type FiledApril 13th, 2017SSRC Negotiating Agreement in Congress Research Grants Mr. John Doe jdoe@ssrc.org Personal Information First Name:Middle Name/Initial:Last Name:Email Address: If any part of your name appears incorrectly above, please contact democracy@ssrc.org to correct the error(s). Please specify "NAC Research Grants" in the message subject line. Home Address Address:City:State:Zip: Country: Home Phone:Cell Phone: Office Address Address:City:State:Zip:Country: Office Phone:Current Position Title:Department:Institution: Historically Underrepresented Groups Do you consider yourself to be a member of a historically underrepresented group? If yes, please elaborate: