Only fill this out if the person hosting the takeover is not yourself.
Your answer
What is the host's e-mail address
Only fill this out if the person hosting the takeover is not yourself.
Your answer
What is the host's phone number?
Only fill this out if the person hosting the takeover is not yourself.
Your answer
What is the host's role in your organization?
Only fill this out if the person hosting the takeover is not yourself.
Your answer
What is your role in your organization? *
Your answer
What is your phone number? *
Your answer
What would you like to highlight about your organization during your takeover? *
Required
Is there a specific city/location you would like to highlight? *
Indicate which location the takeover will take place.
Your answer
What department are you planning this takeover for? *
Your answer
What dates are you available for a takeover? *
Please choose 2 potential dates that you would be available for hosting. (You will not takeover the account for both of the selected days, this is just to help with scheduling.)
Required
Once your takeover is completed, we will upload your Insta-story to our YouTube channel (UCA Career Services & Cooperative Education). Please provide a brief description about your organization that we can add to your YouTube video. *
Your answer
Is there anything else you'd like us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Central Arkansas. Report Abuse