Kentucky Writes: Author Form
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Name of author (last name, first name) *
Date of Birth
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Place of Birth
Please enter place of birth: city and/or county, state
Date of Death
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Place of Death
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Residence(s)
Please list any places of residence (city, state, country), indicate dates if known
Education
Please list institutions, degrees, and dates (if known)
Employment and Associated Groups
Please list employment, professional organizations, military, etc., include dates if known
Occupations
Please list occupations
Publications
Please list published titles with date of publication
Awards/Recognitions
Please list any awards or recognitions received
Resources
Please list any resources (such as a personal website, etc.); include online links if available
Notes
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Gender
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Ethnic Background
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Name of Filer (if different from author)
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