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Department Informational Request
Please fill out this survey to the best of your ability, then submit it. If you are supplying the information for more than one department, you MUST submit a separate survey for EACH Department.
Choose from the following:
Check this box if you would like to maintain a monthly calendar for your department on the website.
Check this box if you would like photos and/or graphical images from your old site moved to your new site. (You will need to identify those photos to us at a later date).
Please provide the following information:
* indicates required information
Name
*
Department Name
*
Main Department Contact Name & Title
*
Email Address? (Optional)
Second Department Contact Name & Title
Email Address? (Optional)
Third Department Contact Name & Title
Email Address? (Optional)
E-mail:
*
Add the full address for your department, as you want it to appear on the website, Please include a Phone and Fax, if applicable.
List all staff members as you want them to appear on the website. If you wish, you can also include their titles, direct phone numbers and/or email addresses.
If you would like to include one, write a 'Mission Statement' for your department or a 'Description of Your Services' as you want it to appear on the website. This can be as long or as short as you wish, and you will be able to revise it anytime.
This form is for you to submit your basic information. If you would additional information to be posted for your department (See "Additional Links" section of the website), send it to us via email in electronic form to: content@virtualtownhall.net.
Specify Salem CT and XXX Department in the Subject Line.
