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APSU Faculty, Staff, and Student
Scholarly and Creative Achievement Exhibit

First Name: Quill

Last Name:

Email Address:

Phone Number:

Department or Major:

Current Status:
Faculty
Staff
Student
Administrator
Alumnus
Emeritus

What type of achievement?	What year was it published?
Publication Title: Publisher: Volume: Issue: URL (if applicable):

Tell us a little about your work (500 characters or less):

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This form is for the submission of bibliographic information. Once you have completed this form, any items you wish to be displayed during the event must be delivered to Scott Shumate in Library 308 or Gina Garber in Library 321 with a copy of this form.