Public Affairs and Communications (PubCom)

Name Badge Request Form

Submissions are subject to editing, but we’ll email you a PDF of the proposed badge for your review and approval. Please contact Janna Clark if you have any questions.

Unless you specify a pin backing, your badge will be made with a magnetic backing.

IMPORTANT UPDATE 4/11/18 10 a.m.

The HR badge budget funds are now exhausted. Please be aware that your badge will be charged to your office or department. Badges are $8.05 each.

Name of person placing order*

Contact email:*

Name as you'd like it to appear:*

Please don't include honorifics, titles, or credentials.

If this badge is for a Lewis & Clark alum, list the degree(s) and class year(s):

If this badge is for a Lewis & Clark student, list the anticipated degree and class year:

Which designation describes this person's job?*

graduate school only (Lewis & Clark Graduate School)

law school only (Lewis & Clark Law School)

undergraduate school only (Lewis & Clark College)

institutional/common services/more than one school (Lewis & Clark)

Department, office, or division in which this person's job is located:

Job title:

Please keep this text as short and helpful as possible. Don't worry if it doesn't match HR's version.

Credentials:

In general, we don't recommend including these on your badge.

If this badge is for the parent of a Lewis & Clark alum, list the degree(s) and class year(s) of the child or children:

If this badge is for the parent of a Lewis & Clark student, list the anticipated degree(s) and class year(s) of the child or children:

Pronouns:

If you wish to have personal pronouns on this badge, please provide them here.

What's critical?*

Badges are small, so we may not be able to include everything. Tell us what's important to you.

Department, office, or division

Job title

Credentials

Parent citation

Pronouns

Is there anything else we need to know to process your request?

MSC for delivery:*

Billing account (### ####):*

IMPORTANT: Your badge will be charged to this account. Badges are $8.05 each.

Public Affairs and Communications (PubCom)

Contact Us

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Public Affairs and Communications is located in McAfee on the Undergraduate Campus.

email pubcom@lclark.edu

voice 503-768-7970

Executive Director Joe Becker

Public Affairs and Communications
- Public Affairs and CommunicationsLewis & Clark0615 S.W. Palatine Hill RoadMSC 19PortlandOR97219