Contact Details Update

This form has been created to maintain an up-to-date database of key contacts within the University Chancellors Council. This form should be completed on request by the UCC, and should include all key details of the University Chancellor, their support staff, and their key contact details.
These details are for use of the UCC and the UCC Convenor only.

Chancellor Name

First Name

Last Name

University

Personal/Direct Contact Email

University Email Address

Mobile Contact

(###)

###

####

University Line Contact

(###)

###

####

Date Commenced

MM

DD

YYYY

Date Term Ends

MM

DD

YYYY

Name of Support Staff

First Name

Last Name

Email of Support Staff

Additional Comments

Please include any additonal information here that could be relevant, including additional support staff contacts, future commencement dates of incoming Chancellors, or contact requests.