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Home/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.

All fields marked with asterisk (*) are required.

required text field
Please don't include honorifics, titles, degrees, or credentials.
required radio button field
Pick the option that describes this job:*
required radio button field
Do you want this badge to include the name of the department/office?*
text field
required radio button field
Do you want this badge to include a job title?*
text field
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?*
text field
required text field
required e-mail address field
required text field
required text field
Badge will be charged to this account. Badges are 8.05 each.
textarea field
header field

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

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