The form below is to be used only if you are requesting a mailing list that is not to be associated  with a credit course you are teaching.

List owner's name:

UVic e-mail:      Phone:

Preferred name of the list*:
* the name of the list must be at least 3 characters long, up to 20 characters is reasonable, hyphens are acceptable characters.
Spaces and special characters (such as / , () ) are not acceptable characters.

Additional instructions: