Web Site/Page Request Form



Full Name

Department

Campus/Building

Phone

Purpose of Web Page

Audience (ex. students, faculty/staff, prospective students, external audience...)

Content of Web Page

Is this information available as a previously printed MCC Publication? Yes No

If yes, in what format?



If not, please provide the copy for your page by e-mail attachment (text file or MS word doc) to aradhyaj@middlesex.mass.edu.


Other:


Site Contact (THIS FIELD MUST BE FILLED OUT)
(person responsible for page maintenance/updates/removal when outdated):

Any questions or comments please contact Jennifer Aradhya at x3513.

PLEASE NOTE: By submitting this request I certify that the Site Manager, I have indicated, has agreed to maintain, update and/or remove the site. I also certify that I have read and agree to abide by the College Network Usage Policy.

Last Modified: 8/5/12