#INCLUDE filename="include_head.html">
<#INCLUDE filename="include_header.html"> <#INCLUDE filename="include_menu.html">
<#FORMSTATE>
Update Profile
User Information
First Name
(required)
Last Name
(required)
ID Number
(required)
E-Mail Address
(required)
Daytime Phone
(required)
Mobile Phone
Department
<#OPTION name="custom" groupname="Department" selectedValue="<#PARAM name='Department'>">
Status
(required)
<#OPTION name="custom" groupname="StatusGroup" selectedValue="<#PARAM name='StatusGroup'>">
Delivery Location
<#OPTION name="custom" groupname="NVTGC" selectedValue="<#PARAM name='NVTGC'>">
Address
Address Line 1
(required)
Address Line 2
Address City
(required)
Address State
(required)
<#OPTION name="custom" groupname="State" selectedValue="<#PARAM name='State'>">
Address Zip
(required)
<#INCLUDE filename="include_notification_preferences.html">
<#INCLUDE filename="include_footer.html">