First Name:
Last Name:
Area Code:
Phone Number: Email Address:
Event Title:
Requested
SFA Room Number:
Date of
Conference - Month:
Day: Year:
Day of Week:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start Time -
Hour: Minute:
End Time -
Hour: Minute:
Number of
Conference Participants:
Presenter will
be at SFA Presenter will be elsewhere
N/A
Please list
any special room needs below. (Such as a document camera or
computer)
If the
videoconference is to be scheduled more than once, please list
additional times and dates below:
Please
list a location name and a technical contact at other site(s).
We must have this information in order to test connectivity
between SFA and the other connection location(s).
Receive
Site #1:
Site or
Institution Receiving Videoconference From SFA:
Building
and/or Room Number:
Site's
Videoconference Coordinator and/or Technician's Name:
First:
Last:
Phone:
Email:
If SFA
will be connecting with more than one site, please
provide contact information for each additional location in the
space(s) below:
Receive
Site #2:
Institution
Receiving Videoconference From SFA:
Building
and/or Room Number:
Site's
Videoconference Coordinator and/or Technician's Name:
First:
Last:
Phone:
Email:
Receive
Site #3:
Institution
Receiving Videoconference From SFA:
Building
and/or Room Number:
Site's
Videoconference Coordinator and/or Technician's Name:
First:
Last:
Phone:
Email:
Receive
Site #4:
Institution
Receiving Videoconference From SFA:
Building
and/or Room Number:
Site's
Videoconference Coordinator and/or Technician's Name:
First:
Last:
Phone:
Email:
Receive
Site #5:
Institution
Receiving Videoconference From SFA:
Building
and/or Room Number:
Site's
Videoconference Coordinator and/or Technician's Name:
First:
Last:
Phone:
Email:
For more
than 5 additional receive sites, please list location and
technician contact information for each in the space
provided:
If you
have questions or need additional information about
videoconferencing at SFA, please email us: itv@sfasu.edu
Please check that all
above information is complete and correct. We cannot process
requests with incomplete information.