Sign bottom of form to certify that you understand the reason Communications Services is requesting this information. Return completed form to your departmental representative. The State of California Information Practices Act of 1977 requires us to inform you that furnishing this information is voluntary. There is no penalty for withholding it. The information will be used to develop the campus and systemwide directories.
Individuals have the right to access their own records.
The Communications Services Director is the official responsible for maintaining the information.