Affiliation form

Thank you for your interest in either becoming an LALSC affiliate or renewing your afiliate faculty status with LALSC. We recognize that filling out this form may take 10-20 minutes and is more involved than many departments who have faculty afiliates. We aim to create more robust collaborations and connections with our faculty affiliates, which is why we are asking you to filing out this form. We truly appreciate your time and attention in filling out this form and pursuing affiliate faculty status with LALSC.