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2. Name
4. Supervisor
6. Department
8. Select the desired social media platform

   1. Facebook
   2. Twitter
   3. Instagram
   4. Pinterest
   5. LInkedIn
   6. YouTube

   1. Vimeo
   2. Flickr
   3. Periscope
   4. Google +
   5. SnapChat
   6. Nextdoor
10. Do you want to create a page or group?

    1. Page
    2. Group
12. Why do you want to create this page or group?
14. Who is your intended audience?
16. What information do you plan to post about?
18. Explain your level or experience using social media.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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