Directory Update Request

Please select your course from the dropdown and then each of the fields that you need updated.

Course Info

Your Course:
Course Name:
Site Name:
IMSLEC Representative Name:
IMSLEC Representative Email:
Site Director Name:
Site Director Email:

Contact Info

Address 1:
Address 2:
City:
State: 
Zip:
Phone:
Website:

Other

Notes: Anything else that needs to be updated not listed in one of the fields above?