Campus Web Directory Data Change Form
This form is to be used to change the following pieces of Employee information that appear on the
CSUCI Campus Web Directory:
Campus Phone Number
Campus Location
Employee Preferred Name
** (Primary Name, which is the name on file with Human Resources, may not be changed without going through
Human Resources.)
Please print, complete, and submit completed forms to the appropriate division officer:
Division Division Officer Name
Academic Affairs Callie Pettit
Finance and Administration Christine Girardot
Office of the President Melissa Remotti
Student Affairs Toni Rice
This request is being submitted by:
□ Employee □ Telecommunications
Submitted By: First Name: ______________________ Last Name: __________________________
Submitted For: First Name: ______________________ Last Name: __________________________
Employee ID: _______________________
To be filled out by the employee and turned in to designated division personnel.
Preferred Name:
Campus Location(Bldg/Room) :
Campus Phone:
_______________________________________
__
_____________________________________
_
______________________________________
** (Please confirm the requested phone number matches the phone number currently in the Campus Phone Directory on your
phone If it is not there, please contact the IT Helpdesk to have Telecommunications update the Campus Phone Directory.)
To be filled out by CSUCI Telecommunications Department (IT) when an employee is added, moves
offices, or requests a phone number change.
Campus Location(Bldg/Room) :
Campus Phone :
_______________________________________
_______________________________________
Completed By: ___________________________ Date Completed: _____________
