Town of Fairhaven, MA - Department Informational Request

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Department Informational Request

Please fill out this survey to the best of your ability, then submit it. If you are supplying the information for more than one department, you MUST submit a separate survey for EACH Department. Address questions you have to your Virtual Town Hall representative at your next meeting, or call 978.461.5827.

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Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Check this box if you would like to post Meeting Minutes on the website		Check this box if you would like to post Meeting Agendas on the website.
	Check this box if you would like to maintain a monthly calendar for your department on the website.
	Check this box if you would like photos and/or graphical images from your old site moved to your new site. (You will need to identify those photos to us at a later date).

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Department Name		required
Main Department Contact Name & Title		required
Email Address? (Optional)
Second Department Contact Name & Title
Email Address? (Optional)
Third Department Contact Name & Title
Email Address? (Optional)

Add the full address for your department, as you want it to appear on the website, Please include a Phone and Fax, if applicable.

List all staff members as you want them to appear on the website. If you wish, you can also include their titles, direct phone numbers and/or email addresses.

If you would like to include one, write a 'Mission Statement' for your department or a 'Description of Your Services' as you want it to appear on the website. This can be as long or as short as you wish, and you will be able to revise it anytime.

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ph: 508.979.4023 fx: 508.979.4079

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