The SRLD - Membership form
Email address *
Title (pick one) *
First name: *
Family name: *
Gender:
Institution name: *
Department:
Address:
City:
Postcode:
Country: *
Telephone:
Three keywords that best describe your research (separated by commas): *
Main interests in the field of Specific Learning Disorders: *
Up to three representative publications *
If your publication is not in English, please add an English translation of the title in square brackets
Please attach a one page CV *
Required
A copy of your responses will be emailed to the address you provided.
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