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University of California ANR Development Services

All submissions are reviewed by database manager prior to directory
modification. Accepted submissions will show up in the next directory update.

Please give submitter's contact information (*required):
*Name:
*Phone (area code included):
Email:
Personal Information

Lastname:

Firstname:

Phone:

FAX:

Email:

Web URL:

Address:

City:
State:
ZIP:

ANR/CE Work Information Employee
Job Title:
Location of Work 
(county, campus):
Program Area:
Unit of Work:

Current Information
Status of Employee:
Retired   Separated   Deceased
Significant Other's First Name:
Significant Other’s Last Name:
Current Interests:
Current County of Residence:

Additional Information

Do you wish to be listed in the on line ANR Retiree Directory? 
(Click one) Yes   No

Do you wish to receive email notification of future issues of the on line ANR Report? 
(Click one) Yes   No

  
Picture: Pictures may be submitted for use in the on line directory
Mail picture to:

ANR Retiree Directory
1111 Franklin Street, 6th Floor
Oakland, CA 94607-5200
(510) 987-0135

Email picture file to anrdevelopmentservices@ucop.edu.

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