Professional Information

Contact Information

(Please do not provide personal contact information such as home address or home telephone numbers. For students, your email address above is sufficient.)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country

Other Information

*Disclaimer: The information requested on this form is collected under the authority of the Memorial University Act (RSNL 1990 c M-7) and is needed by the Research Grant and Contract Services Department for the purpose of creating your Memorial Researcher Portal account. When you logon on to the Memorial Researcher Portal, your Memorial number is used in conjunction with your MUN Login ID, is used to verify that you are an authorized user of the Memorial Researcher Portal. If you have any questions regarding the collection of this information please contact the I.T. Systems Officer, Research Grant and Contract Services, at 709-864-3771