Social Media Request

	Social Media Request Form

1.	Name of group, department, program or school requesting a social media site*

2.	Name of Building/Program Administrator*

3.	Please provide a clear statement of purpose for this social media page.*

4.	What social media site would you like to create?*
	Facebook    Twitter    LinkedIn    Pinterest    YouTube    Other, please specify

5.	Who will be the primary administrator for the account? (Must be a District employee)*
	Name   Title   Phone

6.	Who will be the secondary administrator for the account? (Must be a District employee)*
	Name   Title   Phone

7.	I have read, understand, and agree to the District Social Media Guidelines*
	--Please Select--Yes No