Please complete and print the following form for each website you wish to create. The completed form, along with the appropriate advisor signature must then be sent to User Support Services, who will forward the request to the system administrators for approval.

Please complete all fields below:

WEBSITE INFORMATION

New Site:

The URL for a new site will be http://lancer.longwood.edu/org/_____________

Please enter your preference for the remainder of the URL here:

Change for an Existing Site:

Please enter the URL for your existing site here:

POINT OF CONTACT INFORMATION

Name:

Organization Name:

Phone Number:

LancerNet ID: (Last name followed by 1st and middle initial. Example: smithar)

E-mail Address:

ADVISOR APPROVAL

By signing, you authorize creation of the above named website on Longwood's server. You verify that the website will be used in accordance with Longwood's Acceptable Use Policy and that any abuse of the folder will be immediately reported to IITS.

Name (printed):

E-mail Address:
@longwood.edu

Signature: _______________________________________ Date: _______________

For IITS Use Only

Sys. Admin. Signature: __________________________________ Date: ____________