HEP/CAMP: Program Update/Listserv Request

1
Are you the Program Director?* This field is required.
YESNO
2

You must be a program director to proceed.
3
Program Director Information* This field is required.
Name
Last Name
Email
Phone Number
Organization/Instituion
Please Select
Please Select
HEP
CAMP
HEP/CAMP
Program Type
Cohort Year
4
Are you making changes to the Listerv, the website, or both?
Listserv
Website
Both
5
Enter the name and email address to be added or removed from the Listserv
First Name
Last Name
Position
Email Address
Select to Add or Remove
1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Add
Remove
Row 0, Column 4
2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Add
Remove
Row 1, Column 4
3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Add
Remove
Row 2, Column 4
4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Add
Remove
Row 3, Column 4
1
2
3
4
First Name
Row 0, Column 0
Last Name
Row 0, Column 1
Position
Row 0, Column 2
Email Address
Row 0, Column 3
Select to Add or Remove
Add
Remove
Row 0, Column 4
First Name
Row 1, Column 0
Last Name
Row 1, Column 1
Position
Row 1, Column 2
Email Address
Row 1, Column 3
Select to Add or Remove
Add
Remove
Row 1, Column 4
First Name
Row 2, Column 0
Last Name
Row 2, Column 1
Position
Row 2, Column 2
Email Address
Row 2, Column 3
Select to Add or Remove
Add
Remove
Row 2, Column 4
First Name
Row 3, Column 0
Last Name
Row 3, Column 1
Position
Row 3, Column 2
Email Address
Row 3, Column 3
Select to Add or Remove
Add
Remove
Row 3, Column 4
1 of 4
6
Enter the email addresses to be added to or removed from the Listserv.
Email address
Please Select
Please Select
Add
Remove
Add or remove?
Email address
Please Select
Please Select
Add
Remove
Add or remove?
Email address
Please Select
Please Select
Add
Remove
Add or remove?
Email address
Please Select
Please Select
Add
Remove
Add or remove?
7
Website Updates: please enter ONLY the information that needs to be updated.
Organization or Institution
Program Address
Phone Number
Director Name
Director Email
Program Website
Anything else needs to be changed?
Should be Empty: