Service Requested: (Check as many as required)
Add New Web Site Add New Sub-directory to Organization Web Site
Add New Link to USA Web Site Add/Change Webmaster J-Number - J00_________________ Directory/sub-directory Name requested: Additional Instructions:
Webmaster:
I agree to be the Webmaster for the organization or faculty member directory listed above and to accept the responsibilities outlined in the "Webmaster Agreement." I agree to abide by the provisions of the "Web Policies." I understand that the account provided to me on the USA Web Server is to be used solely for Internet publishing for the organization above.
Name of Webmaster: (please print)
E-Mail Address of Webmaster: @
Telephone Number:
Signature: Date:
Dean / Department Chair:* I authorize the individual above to be the designated Webmaster for the indicated organization or personal web site. I have read the attached "Webmaster Agreement" and understand the responsibilities involved.
Dean/Department Chair: (please print)
Signature:Date:
* For Student Organizations, the "Department Chair" is the Office of Student Activities, Academic Support Center, Room 1345. Please mail this form when completed to: Web Services - FCS 12 or FAX to (251) 461-1352
