Video Conference Request Form

We can provide equipment and staff to record class sessions or special events. Please use this form to place your request.

Please note:

  • Provide as much lead time as possible for your request
  • Support of School of Arts and Sciences (SAS) classes is given priority and is provided free of charge.
  • Service requests for non course related events may incur rental and staff fees and are subject to availability. Please see our rate sheet for more information.
   
Your contact information

First Name
Last Name
Email Address
Phone Number
Department
Affiliation

If you're making this request on behalf of somone else, please identify that person; students, please identify the instructor for your course
First name
Last Name
Email Address
Phone Number
Department
Affiliation




Event Information
Is this request related to an SAS class or special event?
Please Describe the nature of this event, including number of local participants, number of off-site percipients, and any other details that might be helpful. Please include the course number if the conference is servicing a class.
On-site Location (Near-end)
Building
Room #
Off-site Location (Far-end)
Location
TimeZone
When does the conference take place? (local time)
Date (mm/dd/yyyy)
/ /
Start time
hour
:
minute
End time

hour
:
minute
Please fill out the following information if you can, for it is helpful, but not required...
Connection Type
Far-end IP
Far-End Equipment
Far-End Contact
 
Other instructions or information about this request