ࡱ> UWT#` <bjbj5G5G PW-W-,8L,$-DHJJJJJJ$)h!nQnXHH 0@}X01"p1"1"q0"qqqnnLXqqq,,, ,,,,,, I,  FORMTEXT       , give permission to authorized parties at WCC to release the information listed below. I understand that my information may be released in campus wide (WCusers) emails and that WCC cannot guarantee exactly who will receive the information. Items without a check mark (") in the corresponding box will NOT be released. Please note items that can be released with a check mark (") in the boxes.  FORMCHECKBOX Home address (if allowed, please list in the next section) FORMCHECKBOX Home telephone (if allowed, please list in the next section) FORMCHECKBOX Death in the family FORMCHECKBOX Birth in the family FORMCHECKBOX Illness/Surgery  FORMCHECKBOX Award, Degree, or Other Honor FORMCHECKBOX New position outside of WCC If you grant WCC permission to release your residential information in campus wide (WCusers) emails, then please provide the specific information below. Do not provide any information that you do not authorize the release of. Street Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip Code: FORMTEXT      Telephone #: FORMTEXT       WCC typically sends flowers when an employee has a death in his or her immediate family. Please note below if flowers are acceptable or if you prefer a donation to be made to the WCC Educational Foundation in the family member s name. Please note your preference with a check mark (") below.  FORMCHECKBOX Flowers sent to funeral home, church, or residenc *,.0X~  L N P ` | 箦~sssh`PhVh*W5CJOJQJaJh*WCJaJhVh<CJaJhVh*WCJaJhVhUCJ^JaJhQCJaJhI CJaJhVhUCJaJhpCJaJhA>*CJaJ%jh d5>*CJUaJmHnHu&jh d5h d5>*CJUaJh d5>*CJaJjh d5>*CJUaJhVhCJaJ H l  A Skd$$IfTl0H2%Z t0D%644 laytQT $IfgdU $$Ifa$gdQ$a$gd*W @ gdA;<   $ & ( * , 2 D H J f h j  򲤲}r`}rXrLDhI CJaJjhI CJUaJh+7CJaJ#jthVhqCJUaJhVhqCJaJjhVhqCJUaJhphp5CJOJQJaJhpCJaJhphp5CJ^JaJhphp5CJaJhVh*W5CJOJQJaJ"hP<\hP<\5>*CJOJQJaJ"hP<\hp5>*CJOJQJaJhp5CJOJQJaJ   , ? 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