/ Public Affairs and Communications (PubCom)/ Name Badge Request Form

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.

Your badge will be charged to your office or department. Badges are $8.05 each.
Typically, your badge will be delivered to you via campus mail about three weeks after your submission.
Unless you specify a pin backing, your badge will be made with a magnetic backing.

Law school faculty and staff: To request a badge, please contact Kerry Rowand.

Updated 9/21/21

Due to staffing issues, badge production has been halted until mid-October. Any requests you submit will be held until that time for processing. Thanks for your understanding.

All fields marked with asterisk (*) are required.

required text field

Name as you'd like it to appear:*

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

required radio button field

Pick the option that describes this job:*

Serves only the graduate school

Serves only the undergraduate school

Serves the institution or more than one school

required radio button field

Do you want this badge to include the name of the department/office?*

yes

text field

If yes, provide the department/office name as you'd like it to appear:

required radio button field

Do you want this badge to include a job title?*

yes

text field

If yes, provide the job title as you'd like it to appear:

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

required radio button field

Do you want this badge to include personal pronouns?*

yes

text field

If yes, provide the personal pronouns as you'd like them to appear:

required text field

Name of person placing order*

required e-mail address field

Email of person placing order*

required text field

MSC for delivery:*

required text field

Budget number (### ####):*

Badge will be charged to this account. Badges are 8.05 each.

textarea field

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

header field

Please do not complete the following two questions unless this badge is for a Lewis & Clark alum, student, or parent.

text field

For Lewis & Clark alums and students, provide degree(s) and class year(s), if desired:

This is optional. No degrees from other institutions, please.

text field

For Lewis & Clark parents, provide degree(s) and class year(s), if desired:

This is optional. No degrees from other institutions, please.

Link (required)