Template 4 forms

Forms

Forms (in-page)

Requires a pre-built HTML form. Contact the Senior Web Officer if you need a custom form built for your site.

• Web form submissions will be sent to the email address you specify. Cascade does not store submission data
• Familiarize yourself with the provincial guidelines for collecting personal information online
• In-page web forms should be simple and straightforward. If you need to use form logic, or want the ability to download submissions as a CSV document, consider using UVic's enterprise survey tool.

*required Indicates required field.

Oops some things were missed. Please fill out the missing fields below.

For robots only. Humans please leave this blank.

Name:

Email:

Text area:

Select: Choose... Option 1 Option 2 Other (please indicate below)

Other option:

Date picker:

Checkbox question:

Checkbox option 1

Checkbox option 2

Submit Clear form