JLCC Online Form Request

* +

Contact Information

First Name *

Last Name *

Your Placement *

Phone Number *

Email Address *

Form Background

Committee or Council for this request *

Date of Event for this form (if applicable) +

Purpose of this form *

Date this form needs to go Live * +

Location of form on website: (please provide link to page)

Will this form be used each year or is this a one time use? *

each year

one time use

If one time use, when can it be removed? +

Email Notification

Do you want a confirmation/thank you email message sent to the person who completed the form? *

Yes - an email address field will be required on the form.

No

Email Subject? *

What message shall be included in the confirmation/thank you email? *

Admin Email Notification

How do you want to receive the results of submitted forms? Indicate the email address(s) to receive each notification. *

an email of each form submission as completed

a daily summary

a weekly summary

a monthly summary

Format to receive the results of submitted forms? *

table format

PDF

Excel

.csv

Email Address(s) to receive results (please use a role based email @jlcollincounty.org) (Separate address(s) with a ; ) *

0/255 characters

Names or personal emails of members you expect the above role based email to forward to: (this is for use in form testing before the form is set to live and to verify email forwarding) *

0/255 characters

Form Details

Attach a file representing the fields needed in your form. (Please note on each field if it should be required to complete the form.) *

Will the form need to allow the user to attach a file? *

Yes

No