Request for Official Department/Program Home Page

Please complete this form and deliver to:

• Webmaster
  Institutional Relations Department
  Jefferson Davis Campus, U-Building, Room 206.

Date: _____________________
Name: ____________________
Department: _____________________________
Program: _____________________________
Extension: _______________
Title of Page: ________________________________________

Purpose and General Contents of Page(s):
_____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________

Name of the primary person who created the page:
____________________________________
Name of the primary person who will maintain the page:
____________________________________

It is requested that a department account be created on the MGCCC web server.
The requested web address for this account is:

http://www.mgccc.edu/~___________________.

Should access to this page be limited to certain users (students, employees, etc.)? Please list:
_____________________________________________________
_____________________________________________________

How often will the page require updates?
___ Weekly ___ Monthly ___Semi-annually

If you plan to use any pictures, video files, sound clips or other supporting materials, describe them below. (Indicate file size when possible.)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

I verify that the content of this department/program home page adheres to procedures as outlined in the MGCCC Web Page Policy; that it is free of any errors; and that all links are active and correct.

Signature: __________________________________
Date: ___________________________

You must have your home page approved by the individuals listed below before submitting your request to the Institutional Relations Department.

Department Chair/Director (may not apply to all programs):
___________________________________________

or

Dean/Supervisor: _____________________________

Date: _____________________________________

For Office Use Only

Approved by Institutional Relations Department/Web Page Committee:
_____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________

Date: ____________________________________