INTENT TO SHIP HAZARDOUS MATERIAL FORM
1. Material Name or Constituents:
2. Form of Material
(i.e. liquid, solid, etc):
3. Quantity of Material:
4. CAS number
(leave blank if no cas number, or if the material is not under the Toxic Substance Control Act, type 'not needed'):
5. Manufacturer (if any):
6. Product Number (if any):
7. Shipping Destination:
8. Special Shipping Requirements
(i.e. cold packs, dry ice, none):
9. Preferred shipping method:
10. Shipping account (if any):
Not in list, please specify in notes.
--------------------
Common Carrier
DHL
Federal Express
Triumvirate
UPS
Yellow Freight
11. Shipping priority:
12. Do you plan to transport this
material off-campus, personally?
Rush(<24 hours)
Normal(2-3 days)
Yes
No
First Name:
Last Name:
Date:
Phone #:
Email:
Campus Address/Pick-up Location:
Department:
PI:
Not in list, please specify in notes.
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A&F Administrative Systems
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Academic Computing
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Academic Planning & Assessment
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Accounting & Information Sys
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Administration & General - UHS
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Administration NRE
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Administrative Computing
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Advocacy Programs
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Afro-American Studies
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Agricultural ExperimentStation
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Aims
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Alcohol Education Program
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Alterations Department
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Alumni Relations
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Anthropology
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Art
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Arts & Sciences Advising Ctr
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Astronomy
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Athletics Administration
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Athletics Facilities
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Atlas Project
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Aux. Central Administration
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AVC Facilities
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Balances
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Bdic
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Biochemistry & Molecular Bio.
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Biology
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Budget Office
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Budget Programs
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Building Maintenance
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Bursar
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Bursars Campus Wide
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Business Management
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Campus Career Network
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Campus Distribution Services
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Campus Liabilities
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Campus Recreation/Sports Clubs
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Campus Wide
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Capital Improvements
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Capital Projects
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Center for Agriculture
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Center for New England Culture
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Center for Student Businesses
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Central Costs & Allocations
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Central Non-Rev Generating
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Central Operations
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Ceremonial Events
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Chancellors Exec Area Admin
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Chancellors Office
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Chemical Engineering
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Chemistry
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Child Care
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CIO
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Civil & Environmental Engin.
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CLACLS
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Classics
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Collection Management
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Communication
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Communications Disorders
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Community Relations
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Commuter Serv/Housing Res Ctr
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Computer Science
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Conference Services
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Consumer Studies
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Continuing Education
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Controller
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Controllers Campus Wide
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Cranberry Station - Extension
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Creative Services
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Ctr for Economic Development
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Customer Service / Work Mgmt.
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Daily Collegian
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Dean Academic Support
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Dean College Hum. & Fine Arts
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Dean Health Sciences
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Dean Natural Sciences & Math
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Dean of Students Office
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Dean of Students Services
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Dean School of Education
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Dean School of Engineering
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Dean School of Management
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Dean Social & Behavioral Sci
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Development Office
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Dining Commons
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Dir. Communications & Mkting
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Director of Campus Services
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Disability Services
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Division of Student Affairs
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Economics
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Educ. Policy Research & Admin.
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Educational Needs HFA
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Educational Needs NSM
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Electrical & Computer Engin.
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Engineering Minority Program
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Engineering Research Center
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English
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Enrollment Services Central
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Enrollment Servs Support Progs
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Environmental Health & Safety
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Environmental Science
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Equal Opportunity & Diversity
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Everywomans Center
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Executive Office
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Exercise Science
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Facilities and Campus Planning
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Faculty Senate
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Family Housing
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Fellowships
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Finance & Operations Mgmt
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Financial & Cost Analysis
/r/n
Financial Aid
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Fine Arts Center
/r/n
Five College Program
/r/n
Food Science
/r/n
Food Service Retail
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Foreign Language Resource Ctr.
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Fraternities & Sororities
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Gen Ed
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General Instructional Support
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Geoscience
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Grad Recruitment & Retention
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Graduate Academic Support
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Graduate Deans Office
/r/n
Graduate Student Support
/r/n
Grounds/Custodial
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Help Services
/r/n
History
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Honors
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Hospitality and Tourism Mgmt.
/r/n
Hotel
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House Councils
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Housing Assignment Office
/r/n
Housing Services
/r/n
Housing Services Programs
/r/n
Human Resources
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Human Resources Campus Wide
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Information & Donor Services
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Institutional Research
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Instructional Technology
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International Programs
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Jewish Awareness Program
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Judaic & Near Eastern Studies
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Labor Center General
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Land.Architecture/Region.Plan.
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Language, Literature & Culture
/r/n
Learning Disability Services
/r/n
Legal Studies
/r/n
Library - List / Di
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Library Acquisition
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Library Administrative Serv.
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Linguistics
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MA Inst Social & Econ.Resource
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MA Magazine
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MA Small Business Devel Center
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Management
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Marching Band
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Marine Station
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Marketing
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Mens Sports
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Microbiology
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Miscellaneous
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Mullins Center
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Multicultural Student Services
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Music
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NE/Sylvan Operations
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NE/Sylvan Residential Life
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Neuro Science Behavior-NSB
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New Students Program
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News and Information
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NRE
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Nutrition
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Nutrition Education
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O2O Mail Services
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Office & Classroom Supplies
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Office of Human Relations
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Ombudspersons Office
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Orchard Hill/Central Operation
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Orchard/Central Res. Life
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Organismic & Evolution Biology
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Outreach & Technology Transfer
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Outreach Administration
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Parking Services & Garage
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Peri
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Philosophy
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Physical Plant
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Physics
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Plant Biology Graduate Program
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Plant, Soil & Insect Sciences
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Political Science
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Polymer Science & Engineering
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Polymer Science Research
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Printing Services
/r/n
Proc. Family Housing
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Procurement
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Program Support
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Provosts Office
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Psychology
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Public Affairs
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Public Safety
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Rap
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Registrars Office
/r/n
Research & Instructional Serv.
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Research Services
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Research Support
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Residence Halls Security
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Residential Life System
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Residential Programs
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Resource Economics
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Retail Services
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Revenue
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Revenue and Appropriations
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ROTC - Air Force
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ROTC - Army
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SA Info Technology Services
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SAC-Stu Ctr Ed Res & Advoc
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School of Nursing
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Scientific Reasoning Research
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Security Personnel
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Slavic Languages & Literature
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Sociology
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Southwest N. Residential Life
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Southwest North Operations
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Southwest S. Residential Life
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Southwest South Operations
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Sport Studies
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State Government Relations
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Stem
/r/n
Stockbridge
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Stockbridge Programs
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Stonewall Center
/r/n
Stpec
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Student Activities Center
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Student Dev. & Pupil Personnel
/r/n
Student Legal Services Office
/r/n
Student Union Craft Center
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Summer Camps
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Talent Search
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Teacher Ed. Curriculum Studies
/r/n
Teaching Development Center
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Technology Services
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Telecommunications
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The Environmental Institute
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Theatre
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Transit Services
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Travel Administration
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UCard
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UG Advising & Academic Support
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UMass Extension
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UMass Transportation Center
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Undergraduate Admissions
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Undergraduate Affairs Home
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University Press
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University Store
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University Without Walls
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User Support Services
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Utility Commodities
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Utility Department
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UVC - TV19
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Vending
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Veterans Affairs
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Veterinary & Animal Sciences
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Vice Chanc Univ Advancement
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Vice Chanc. Admin. & Finance
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Vice Chancellors Office-St.Aff
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Vice Provost Research
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WFCR
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WMUA
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Womens Sports
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Womens Studies
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Writing Program
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Notes: (maximum length = 255 characters)