Use the form below to report address, telephone and/or e-mail changes for emeritus/a faculty and staff. It is only necessary to fill in those fields for which changes need to be made.

Campus address, telephone and e-mail changes will be reflected in the university's on-line directory within two weeks. Home addresses are not listed in the on-line directory, but are maintained by the Office of the Secretary of the Faculty for special mailings. Please direct questions to the Office of the Secretary of the Faculty at (608) 263-5740.

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Address Information Change Form

Last Name of Emeritus/a Individual:
First Name of Emeritus/a Individual:
Department of Emeritus/a Individual:

 

Old Information			New Information
Campus Address (room number and building):			Campus Address (room number and building):
Campus Phone:			Campus Phone:
Home Address:			Home Address:
Home Phone:			Home Phone:
E-mail Address:			E-mail Address:

 

Your Name:
Your Phone:
Your E-mail Address:

When finished, click 'Submit Changes'.