BIO Department Update Form

This form will be used for internal BIO office business only. Cell phone and other private info will not be shared, unless you give permission for this info to be shared.

It is used for emergency purposes as well as when booking flights, arranging travel, conference registration, etc.,

Name Name * First Last
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your Home Phone or Cell Phone Your Home Phone or Cell Phone * - ### - ### ####
Your Alternate Phone Your Alternate Phone - ### - ### ####

Another phone number where we might be able to reach you if needed.
What is your office Room Number?
(Please list the office that you will be in next semester.) *
Do you have a phone in your office? If so, please bring it to the BIO office. It is now obsolete and does not work. *

Do you have a phone in your office? If so, please bring it to the BIO office. It is now obsolete and does not work. Yes No
The new 'phonelines' are attached to your TEAMS account and calls are taken using your computer and a TEAMS voice number.

Would you like a TEAMS voice number so that you can take calls from students and others? *

The new 'phonelines' are attached to your TEAMS account and calls are taken using your computer and a TEAMS voice number.

Would you like a TEAMS voice number so that you can take calls from students and others? Yes No
If yes, do you want voicemail on your TEAMS voice account? *

If yes, do you want voicemail on your TEAMS voice account? Yes No N/A
If you will not to have a TEAMS voice phone line, is there another number that you would like to have available in the EIU directory for students, faculty, staff and others to contact you? If so, enter that number here or type - No.
Your date of birth Your date of birth * / MM / DD YYYY

This is always needed for contracts, when making flight reservations, and for other purposes of office use.
Is it ok to share the phone numbers above with others in the department? *

Is it ok to share the phone numbers above with others in the department? Yes No

If you chose not to share your phone number, it will be used only for departmental use and available only to Canam, Britto, and Marschelle.
What is the room number of your primary lab space?
If you have more than one room being used for lab space, please also list that room number(s) here
Which graduate student(s) do you mentor? Enter your current students as well as the names of those arriving next semester. *

If non, just type 'N/A'
Need to Update Your Faculty Research Blurb? Please enter the info here.

This is to update the faculty research interests that is provided to the public on th EIU website.
Which clubs or RSOs do you mentor or advise?
If you would like to change your profile pic, upload it here.

Attach Files
The information in this section is for emergency use only and will not be shared with others. The information is saved in a private server viewable only by Tom, Britto, and Marschelle.

It is actually much needed and has been used for emergency issues in the past.
Name of your spouse, significant other, or an emergency contact person. Name of your spouse, significant other, or an emergency contact person. * First Last
Relation to you *
Address of your spouse, significant other or emergency contact person, if different from yours Address of your spouse, significant other or emergency contact person, if different from yours
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone of your spouse, significant other or emergency contact Cell Phone of your spouse, significant other or emergency contact * - ### - ### ####
Landline or alternate phone Landline or alternate phone - ### - ### ####
Spouse/Emergency Contact's Employer (for use only in case of emergency)
Spouse/Emergency Contact's Work Phone (for use only in case of emergency) Spouse/Emergency Contact's Work Phone (for use only in case of emergency) - ### - ### ####