Telephone Directory Modification Request Form

Please note, changes to the following items must come through Human Resources and cannot be modified using this form:


*Modify the online directory?: Yes No
*Other change request (enter below)?: Yes No
*First name as it currently appears in the directory:
*Last name as it currently appears in the directory:
*Correct telephone extension:
*Correct Room:
*Correct Building:
Any other information:

Submitted by:
*Your email: @monmouth.edu