HTML/CSS Web Template Request Form

Organizational Information

Official UAB Unit Name:(*)
Please type the official UAB Unit name.

Host School or Administrative Unit:(*)
Please type the name of the Host School or Administrative Unit.

Host School or Administrative Unit Fiscal Officer:(*)
Please type the name of the Host School's or Administrative Unit's Fiscal Officer.

Contact Name:(*)
Who is requesting this Web site (BlazerID)?

UAB email address:(*)
What is the UAB email address for person requesting Web site?


Existing Web Site Information

Is there an existing site for this unit?(*)
Please specify if there is an existing site.

What is the existing site's Web address?
Please type the existing site's address.

Where is the existing site being hosted?
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Who manages the site?
Please type the name of the existing site's site manager.

UAB email address for Site Manager:(*)
Who will be managing this Web site (BlazerID)?

Please type in the following characters:(*)
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