Employee Information Request Form

To receive more information about faculty and staff opportunities at LCC International University, please complete the following form.

Feel free to choose more than one

Please tell us about yourself so that we can send the most appropriate and relevant information.

How did you hear about LCC International University? *

When might you be available? *

For how long might you be available? *

Educational Background (complete those that apply). Please include your degree and university.

Undergraduate

Graduate

Doctorate

Other

I am currently ... *

Is there anything else you would like us to know?

First name*

Surname*

Mailing Address*

City*

State/Province*

Zip/Postal code*

Country*

Email address*

Work phone

Home phone