Request for Campus Memorial Plaque Current employees who die while employed by 午夜影院 and deceased former 午夜影院 employees are commemorated on the Campus Memorial. The name of an employee who dies while in service at 午夜影院 is placed on the memorial at no charge pursuant to the submission of this form based on the verification of the deceased's 午夜影院 employment. Please refer to the for detailed information.听 Requestor's Name 听 Requestor's email 听 Name of Honoree 听 (as you wish it to appear) 午夜影院 Department(s) When Employed 听 Years of Service 听 Please provide the range of years the employee worked for 午夜影院 (i.e. 2005 - 2010). Job Title(s) 听 What position(s) did the individual hold at 午夜影院? Comments Spam Check