Webform Request

Examples: Registration
Communication Lead Time: Live in one week following request (typically). Lead time will vary based on complication of request.
Each department is responsible for keeping information up-to-date on the department's section of website. Webform requests may be done through request or editing within the individual department. Please remember that all forms will adhere to the design standards.

Please check to indicate that you have read

The Marketing and Communication department reserves the right to edit web submissions for consistency, accessibility, clarity, and brevity. Further information on this can be found on the Web Design Standards page.

Contact Information of Person Requesting the Webform

First Name

Last Name

Extension

email address

Will this form take money?

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Forms that take payment may take up to one week to create.

5 digit account code for payment

More

If you do not know the 5 digit account code, then please contact the business office.

If this form takes money, how much is it?

Include details of what you want the form to contain.

Confirmation message

Example

Thank you for applying!
CONGRATULATIONS, your application was successfully submitted.

If you have any further questions, please feel free to contact jdoe@etbu.edu.

Email address to send results to

Upload an example or more directions here.

One file only.
75 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Link Title

Link URL

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Include a link to the page you want to put the form on (or beneath)

Additional Comments: