Social Media Account Request Form

First Name *

Last Name *

Email Address that will be used to set up the new social account: *

Confirm Email Address *

Team, club, or group requesting the social media account: *

Name of the teacher or coach supervising this account: *

Which social media platforms are you requesting? *InstagramFacebookOther

Requested launch date for new social media profile(s): *

List all individuals who will have access to post or manage the account(s): *

Please list your proposed social media handles for each of the requested social media profiles: *Ex. Instagram – @luther_college_hs

I have reviewed the Social Media Community Guidelines and agree to follow them: *YesNo