UL Lafayette: PRNS: Faculty Assistance: Experts Form

Experts Form

Thanks for completing the questionnaire below. It will enable Communications and Marketing to include you on its printed and online lists of experts at UL Lafayette who are willing to be interviewed by local, state or national media.

If you have any questions, please send e-mail to prns@louisiana.edu or call (337) 482-6397.

After submitting this form, you should receive an e-mail message that will either confirm receipt or indicate there was an error.

Please note that fields with an asterisk (*) are mandatory.

Name*:
Terminal Degree*:
Office Phone*:
Topic Name: (e.g., Math, History*)
Topic Description*:
Department*:
Title: (e.g., Professor*)
Home Phone: (Optional)
E-Mail*:
Would you like to be listed as an expert in any other topic? If so, please list the topic and provide a brief description.
Topic:
Topic Description:
Topic:
Topic Description:

Document last revised Wednesday, August 5, 2009 12:51 PM

© Copyright 2003 by the University of Louisiana at Lafayette
Communications and Marketing · Martin Hall Room 319
Post Office Box 41009, Lafayette LA 70504-1009, USA
337/482-6397 · 337/482-5908 (fax) · prns@louisiana.edu