Palestine Research Cluster Membership Application Form Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email(Required) If you are affiliated with York University, please indicate your status(Required) Distinguished Research Professor Full Professor Associate Professor Assistant Professor Professor Emeritus/Emerita Adjunct Professor Visiting Professor Postdoctoral Fellow Ph.D Student Masters Student Undergraduate Student Other I am not associated with York If you are NOT affiliated with York University, please describe your current affiliation (eg. institutional, organizational, community-based, independent, etc.)Would you like your name to appear as a member on our PRC website, under General Members?(Required) Yes No See https://www.yorku.ca/cfr/palestine-research-cluster/Are you currently engaged in research that centres Palestine, or are interested in participating in research on/related to Palestine?(Required) Yes No If you are currently engaged in research that centres Palestine, please briefly describe below:I confirm the above information is correct:(Required) Yes