Channel Request Form

Please read the Channel Policy *

Requestor's Name:
Requestor's E-mail:
Requestor's Affiliation:
Affiliated Group Name:
Channel Title:
Purpose of Channel:
Audience(s) for Channel
(ctrl-click or Apple-click to select more than one)
How will you provide channel content?

If you are not sure or selected "other," please provide additional information:
How often will the content in this channel be updated?
I have read the Channel Content Policy & Request/Approval Procedures and agree to abide by them.

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