Figure 1 page 3 



Section 3 - Research or Consultation Activity 



RCH Oil CONSUL 



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DATK or COMPLKTION {VAw) 



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[ ] INDIVIDUAL ^ 



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PROJECT SPONSOR OR CLIKNT 



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(SHOflT TITLK) 

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I ■ I 1— _J I L. ■ t , 1 1 J 1 1_ 



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DATE OP COMPLETION (yKAR) 



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NUMDKR OF PUBLICATIONS RKSULTRD [ 



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NUMBKR OP PKRSONS SUPKRVISKO 



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PROJCCT SPONSOR OR CLIENT 



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(short title) 



DURATION (months) 



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ta(>2-Bo) 



DATR OF COMPLBTION (yKAR) 



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NUMBER OP PUBLICATIONS RESULTED [ 



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NUMBER OP PERSONS SUPERVISED 



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SCOPE (thousand dollars) 12(|3) 1 [ 1 !-*?[ ) »-i* i[ ] t»* \ INDIVIDUAL OR TEAM EPPORT 



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Section 4 - Experience and Interest in Consultation 



II. INDICATE BELOW YOUR EXPERIENCE AND/OR INTEREST IN WORKINO WITH THE POLLOWINO NAMED OH' 



EXPERIENCE INTEREST 



lANIZATIONS OR KINDS OP GROUPS 

 KXPERIENCE INTERES 



y/ 



(PLACB A CHSCK MARK 

 ir VOU AMK WILLINO TO 

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s/ 



Privatk Scctor 

 Agriculture 

 Construction 

 Manufscturing 

 Mining 



Transportation 

 Utility 



Local Govkrnmknt 



County or city governrDsnt 

 Local or regional planning group 

 State government 



CONSKRVATION OR SciKNTIFIC GrOUP 



Civic action group 



Conservation group 



Professional society 



Tne Institute of EcologyfTIE) 



Tne Nat'l Academy of Sciences INRC 



Intbrnational-Oroanizations 

 united Nations 

 world Bank 

 lUCN 

 Other (nMcIfy) 



KMFLOYKK CONSULTANT 



9911 



looe [ 



1016 ( 



1026 ( 



1036 [ 



1006 [ 



1056 [ 



1066 [ 

 1076 [ 

 1086 I 



1096 [ 



1106 I 



liie ( 



1126 ( 



1376 [ 



1007 

 1017 

 1027 

 1037 

 1047 

 1057 



1067 

 1077 

 10B7 



1097 

 1107 

 1117 

 1127 

 1377 



L. 



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1136 ( 1137 



1146 [ 1147 



1156 ( 1157 



1806 ( 1807 



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1008 



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1028 

 1038 



1048 

 1058 



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1068 

 1078 

 1088 



I all 



1098 



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)118 

 1128 

 1378 



laH 



1138 

 1 148 

 1158 

 1808 



■MPLOYRR CONSULTANT 



1 3(92-65) 



U.S. Fkokral Govbrnmknt 

 Agriculture 



Atomic Energy Commission 

 Commerce 



Congressional Committee 

 Corps of Engineers 

 Defense Department 

 Environmental Protec.Agy. 

 Healtn. Educ. & welfare 

 Housing a> Urban Develop. 

 Interior 



National Science Foundation 

 Office of Set. & Technology 

 State Department (AID) 

 Transportation 



Othkr Govkrnmcnts 



Asian 

 African 



Central American 

 Canadian 

 European, eastern 

 European, western 

 Soutt) American 

 Other (ipeclfv) 



I166 



1 176 



I186 



1196 

 1206 

 1216 

 1226 

 12 36 

 1246 

 1256 

 ]266 

 1276 

 1286 

 1296 



1306 

 1316 

 1326 

 1336 

 1346 

 1356 

 1366 

 1616 



1167 

 1177 

 1187 

 1197 

 1207 

 1217 

 1227 

 1237 

 1247 

 1257 

 1.-67 

 1277 

 1287 



129 7 



130 7 

 1317 

 1327 

 1337 

 134 7 

 1357 

 1367 

 1817 



1*11 



1168 

 1178 

 1 188 

 1198 

 I2O8 

 1218 

 1228 

 1238 

 1248 

 1258 

 1268 

 1278 

 1288 

 1298 



lall 



1308 

 1318 

 1328 

 1338 

 1346 

 1358 

 1368 

 1818 



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1«. HAVK YOU KVKR eKRVKO AS AN KXPKRT WITNKSS FOR: 

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STAT. L...SLATU.. A 1 



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LOCAL aOVERNMCNT 



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