CSU Dominguez Hills | Phone Directory Update Form

CSUDH Faculty/Staff Campus Directory Update Form
To add, change, or delete employee information, please complete and submit this form. * - required field
*	ADD	CHANGE	DELETE

*First Name:

MI:

*Last Name:

*Department:

*Title:

*Building:

*Room:

Phone Prefix:

*Phone Ext.1:

Phone Ext.2:

Phone Prefix: Campus prefix (if other than 243)
Phone Ext. 1: personal extension
Phone Ext. 2: department extension

*E-Mail Address:

*Employee Status:	Full Time Permanent	Full Time Temporary
	Part Time Permanent	Part Time Temporary
	Retired	Separated
Remarks:

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California State University, Dominguez Hills • 1000 E. Victoria Street • Carson, California 90747 • (310) 243-3696
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Last updated: Thursday, January 13, 2005 10:32 AM, by the Webmaster