Directory Update

Name of person making this change request:
Name:
New Name (if making change)
G Number
Phone Number
Fax Number
Title:
Affiliation:
Title (secondary, if applicable):
Affiliation (secondary, if applicable):
Department:
Building / Room Number:
Email Address:
Mailstop:
Pronouns:	He/Him/His She/Her/Hers They/Them/Theirs No Response (Pronouns will not be included in listing)
Note:

Faculty/Staff Directory UPDATE
Complete the form below, making the changes you wish to report. Be sure to use the note field to make the intent of the change request clear... You must enter a value in the fields with bold labels.