Video Conference Request - UAA IT Services

Video Conference Request Form

Request Procedures:

Plan ahead as far as possible. We need at least one week advance notice to successfully accommodate VTC requests. Tell us what you would like to do and we can make recommendations to help you plan your event.
Reserve a room with Facilities Scheduling (786-1497); indicate you need a VTC-capable room.
Gather information from "far-side" endpoints, including contact and VTC info (see request form for specifics).
Use this form submit information and request.

You can also download a PDF version of the Request Form and fax it to our office.

Section 1 - Event Information

Event or Course Name & CRN:

Event Date(s):

Start Time:

End Time:

Recurring:

Yes

No

Start Date:

End Date:

Recurring On:

Example: Every week on Mondays and Thursdays

Section 2 - Requestor's Information

Name:

Your full name

Phone:

A number where IT Services can reach you during the day

Email:

Your UAA email address

Department:

The department making this request

Section 3 - Origination

Origination:

Campus, Building, Room

VTC Unit:

Name, IP or E.164

Reserved:

Yes

No

Contact Person:

The name of the person we can contact if we have questions about the setup

Phone:

The number at which we can reach the contact person

Email:

The email of the contact person

Section 4 - Endpoint 1

Endpoint 1:

Campus, Building, Room

VTC Unit:

Name, IP or E.164

Reserved:

Yes

No

Contact Person:

Phone:

Email:

Section 5 - Endpoint 2

Endpoint 2:

Campus, Building, Room

VTC Unit:

Name, IP or E.164

Reserved:

Yes

No

Contact Person:

Phone:

Email:

Section 6 - Endpoint 3

Endpoint 3:

Campus, Building, Room

VTC Unit:

Name, IP or E.164

Reserved:

Yes

No

Contact Person:

Phone:

Email:

Section 4 - Special Requests

Special Requests: