Loyola Marymount University
LMU Employee Mask Request Form
All LMU faculty and staff may request an N95, disposable 3-ply, or clear mask, courtesy of Environmental Health and Safety. Please complete the form below and a representative will get back to you.
Name
*
First
Last
LMU email address:
*
Please indicate your primary LMU role:
*
Faculty
Staff
Student Worker/Work Study Student
College/Department
*
Academic Affairs
Academic Community of Excellence
Academic Resource Center
Academy of Catholic Thought and Imagination
Admission
AFROTC
Alpha Sigma Nu
Alumni Association
Bellarmine College of Liberal Arts
Campus Business Operations
Campus Digital Graphics
Campus Ministry
Career and Professional Development
Center for Teaching Excellence
Children’s Center
College of Business Administration
College of Communication and Fine Arts
Community and Neighborhood Relations
Conference and Event Services
Controller’s Office
CUREs
Disability Support Services
Distribution Center
Diversity, Equity, and Inclusion
Enrollment Management
Environmental Health and Safety
Facilities Management
Faculty Development
Faculty Senate
Finance Division
Financial Aid
Heads Up
Honors Program
Human Resources
Internal Audit
ITS
Katz Family Academic Skills Program
LMU Extension/Continuing Education
Loyola Law School
Marketing & Communications
Marymount Institute
Mission & Ministry
Office of National and International Fellowships
Office of Undergraduate Research
OneCard
Parking & Transportation
Payroll Services
Phi Beta Kappa
President’s Office
Provost’s Office
Public Safety
Rank and Tenure
Registrar’s Office
Research and Sponsored Projects
Risk Management
School of Education
School of Film and Television
Seaver College of Science and Engineering
Staff Senate
Strategic Plan
Student Affairs Division
Student Media
Study Abroad
StudyLA
Supporting Students from Historically Underrepresented Populations
Technology Enhanced Learning
Undergraduate Core Curriculum
Undergraduate Education
Undergraduate Research Symposium
University Advancement
Type of mask requested
*
N95 Mask
Disposable 3-Ply (Surgical) Mask
* Note:Clear masks are a special order. if you need a clear mask please contact EHS directly at ehs@lmu.edu.
Are you ordering masks for multiple people?
*
Yes
No
How many people are you ordering masks for?
*
If you are requesting N95 masks, please provide the names of the employees for who you are requesting masks.
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
University Hall, suite 4600
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
Daum Hall
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
OSC
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
President's Office
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
North Hall, 2nd Floor
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
Malone 301
Due to high demand, we are requesting that you pickup the requested masks from one of the following campus locations. Please indicate your preferred pickup location.
Foley Annex, Public Safety Office
LSB 101
If there is any additional information that you would like to provide, please use the space provided below.
Due to high demand, we are requesting that you pickup the requested masks from:
Foley Annex, Public Safety Office
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