Administrator Web Page Request
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Please supply the appropriate information requested on the form below. Use the additional topic boxes to add pertinent information about your area that is not provided in your responses to the questions on the form. You may also email additional information to chrisclark@wispertel.net 
Please complete the form to the best of your ability. The objective is for the information to provide assistance to prospective and current City College students, faculty, administrators, and staff.
Name:
Title:

Please list your degrees, major and the name of the Institution Awarding degree. Please spell out the degree and name of Institution, do not abbreviate. For example, Master of Science, Biology, University of Houston :
Department Area Office Phone number :
Department Area Office Fax number:
Your Office Phone number:
Your e-mail address:
Department Area Room Number:
Your Office Room Number:
Name of your administrative secretary if applicable:
Secretary’s email address:
Name of Administrative area you oversee, i.e., School of Business:
Name of Administrative Branch you report to, i.e., Instructional Services:
Identify the departments you supervise, if applicable:
Please provide a brief description of the services your area provides:
Days and hours your area is opened:

Has someone from the web team taken your photo?  If so, what number was it?

If you need a digital photo taken, please identify the best days and times a member of the web team can meet you in your office to take your photo:

Please separate multiple responses for  Degrees, Departments, Previous Work, Community Service, and Professional Background with an asterisk *.  
i.e. Community Server 1 * Community Service 2….
Previous work experience (include position, number of years in position, name of employer, and location):
Community Service (include volunteer work you have done with public or private organizations, membership on public/private organizations):
Professional Background (include professional organizations you belong to, speaking engagements, publications, etc):
Number of years at City College in current position:
Additional Topic (provide any information different than above that relates to you or your area):