Nicholls State University Web Page Registration Form University departments, individual faculty members and campus organizations recognized by the University are encouraged to have a presence on the World Wide Web. These entities may use this form to: Request a department, organization, or faculty web space. Request a link to an existing department, organization, or faculty web site. This form should be completed in its entirety and returned via campus mail to the Website Manager, University Printing and Design Services, Student Publications Building, or faxed to extension 4267. Web Request Type (Please Check One) ___ New Web Space ___ Link to Existing Web Site Name of Department, Faculty or Organization: Web Address (URL): Web space requests should specify an unused URL on the NSU web server such as http://www.nicholls.edu/<requested_name>/ If you are requesting control of an existing web space, please use the current URL. Campus organizations should provide a Nicholls State University advisor as the primary contact. Faculty and Staff may wish to include a supervisor or department head as the primary contact. The secondary contact should be the personnel performing the actual web site maintenance duties. All student organizations must provide a Nicholls State University e-mail address for the organization or student contact. Responsible Parties Primary Contact Please provide faculty advisor for campus organizations or department head for individuals and departments. Secondary Contact Name: Title: Department: Phone: E-mail: The department, individual, or organization and its web page coordinator agree to comply with all Nicholls State University policies and procedures applicable to the appropriateness of use and content of information supplied on or through the University web server. This shall apply to all content provided locally or linked through another source. The department/organization and its web page coordinator understand that this service is subject to termination without notice for security, operational or policy reasons. The department/organization and its web page coordinator agree to abide by all copyright/trademark licensing regulations and laws. Requested By: _______________________________________________ Signature of Requester Date ________________________________________________ Signature Date (advisor for campus organizations or unit head for departments) The advisor of a student organization realizes they are only responsible to monitor their organization's pages and notify their organization and the Web Manager when the organization is not in compliance with the University Policy. The Advisor is also required to notify the Web Manager in the event of a change in Advisor or Web Coordinator for the organization. Rev. 09/06