Sign in to Google to save your progress. Learn more
Join the UCLA Staff Assembly Listserv!

Please enter your information below to be added to the Staff Assembly listserv. To ensure that recipients are employed by the University, we are only adding UCLA issued email addresses.

For questions, contact staffassembly@ucla.edu.
First Name *
Last Name *
Email Address *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Google Apps for UCLA. Report Abuse