Web Site Request Form (Joomla)

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.

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.

Who manages the existing site?
Please type the name of the existing site's site manager.

Where is the existing site being hosted?
Invalid Input

New Web Site Information
New Web Site Requested By:(*)
Who is requesting this Web site (BlazerID)?

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

New Web Site Manager: This is a single person to serve as primary contact for Web site and responsible for regular maintenance and upkeep of Web site.(*)
Who will be the Site Manager fro the new Web Site.

Preferred Web Address for the New Web Site, Will begin with www.uab.edu/.

UAB email address for the new Site Manager(*)
Email add of person managing this Web site (BlazerID)?

Select your template theme elements:
Invalid Input

Sidebar Color
Invalid Input

Content Area Color
Invalid Input

Invalid Input