Date:
Submitted by:
Your email:
Degree Program:
Major:
Priority Level:
I (i.e., incorrect claims or misspelled words/typos) II (i.e., stylistic/design changes)
Need by:
Type of request:
Please make a selection Update Publication New Publication Website Update New website/page request Conference Attendance Other
Type of medium:
Please make a selection Website Brochure Web Ad Print Ad Course Sequence Radio TV
Reason for request:
Please make a selection To correct misspelling/typos To correct inaccurate information Change in program format Change in credit hours New course added to program New page/section for website
If this request involves an existing webpage, please copy/paste the URL of the page:
If this request involves a new page/section that you would like to have created, please indicate the page name/title you'd like to use.
If this request involves a new page/section, does the new area require a "password protection" feature or will it be available to the general public?
Requires password protection feature Does not require password protection feature
Exact changes you wish to make:
Note: If there are files you need replaced or new ones added to the website, please email them to cgrossmann@regent.edu.