2. REQUEST FOR NEW SOCIAL MEDIA ACCOUNT(S)

   Complete the following form to request new social account(s) for your department/division.

4. Department*
5. Division*
7. Requestor's Name*
9. Requestor's Title*
11. Requestor's Email*
12. Requestor's Email*
16. Requesting the Following Account(s)*

    1. Facebook
    2. Instagram
    3. Twitter
    4. Other (list separately)
17. List 'Other' Here

19. Complete the following information for each requested account. List the primary administrator for each account. Approval for additional administrators will discussed during the account set-up process.

21. Social Media Account
22. Primary Administrator
23. Email
25. Social Media Account
26. Primary Administrator
27. Email
29. Social Media Account
30. Primary Administrator
31. Email
33. Social Media Account
34. Primary Administrator
35. Email
39. Review of City's Social Media Policy

    Each of the requested administrators has read the City's Social Media Policy:

    1. Yes
    2. No
40. Social Media Policy
    Click Here to Download
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field