GLAM Member Emergency Information Form

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This form is completed by GLAM Members to record emergency information. This information is secured and accessed only by approved GLAM Personnel.

For questions, please contact Perfecto Belano, Building Manager, pbelano@stanford.edu, 650-304-9832

Email *

Please enter your legal First and Last Name below.

First Name *

Last Name *

Stanford ID# and SUNET ID Instructions:

Required for Core Building Personnel (e.g. Students, Postdocs, Faculty, Staff and appointed Visitors)

Non-Core Building Personnel (e.g. Interns, non-appointed Visitors, SNSF Users and other individuals who are not members of a GLAM PI Group) are considered as "GLAM Guest" or "SNSF User".

SUNET *

Stanford ID# *

8-digits

Personal email *

CellPhone# *

Include area code. Enter without dashes or special characters (e.g. for US phone# XXXXXXXXXX)

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