Apply/Submit Profile first name: last name: home address: city: state: zip: home phone: e-mail address: work address: city: state: zip: In what ways would you be interested in Participating in a public humanities project? (check all that apply) Assist in planning a project Panelist/Moderator Project Director Discussion Leader Major speaker Evaluator Living History Performer Grant Reviewer Filmmaker Have you played a role in any projects funded by MFH in the past five years? If so, list the project(s): Earned Degrees: Please list: Degree/Year/Field/Institution Please indicate your specific area(s) of interest or specialization: Many of the projects MFH supports use the humanities to explore, analyze, interpret, and stimulate discussion about issues of public policy or social concern. Are there any particular issues/concerns that you have worked on or have a special interest in as a scholar? If so, please describe them: Do you have special experience or expertise outside of your disciplines that might be useful in public humanities projects (e.g., with photographic or museum exhibits, film or video projects, theatre performances, radio or television, etc.)? If so, please describe: Do you have any ideas for public humanities programs in Massachusetts that you would be interested in developing? If so, please describe briefly: Yes, please include my name and contact info in the Directory of Humanities Professionals on our website? Submit, as an attachment, a copy of your C.V. If this isn't possible please mail a hard copy to MFH, 66 Bridge St, Northampton, MA 01060)

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