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Videoconferencing Request For Service

The OSU participatory party needs to fill out the form below. We will contact them with an estimate and confirmation of availability once we have contacted the technical support staff at the remote site(s).

Please note: We request a minimum of two weeks notice prior to a live event for proper evaluation and testing of required materials and resources.

Contact Information

First Name:*
Last Name:*
Email:*
Phone Number:*
Course Number:
Department:*

Content Information

Content Type:*    What does this mean?
Content Description:
Estimated Local Attendance:
On-Site Contact E-Mail:*
Number of Distant Sites:*
Date of Event:*
Time of Event:* From E.T.
   To  E.T.
Additional Dates, if a Series:
(Include times if different)

Distant Site Information

Site One  
     Institution:*
     Technical Contact Name:*
     Phone Number:*
     Email:*
     On-Site Email:*
   
Site Two  
     Institution:
     Technical Contact Name:
     Phone Number:
     Email:
     On-Site Email:
   
Site Three  
     Institution:
     Technical Contact Name:
     Phone Number:
     Email:
     On-Site Email:
   
Site Four  
     Institution:
     Technical Contact Name:
     Phone Number:
     Email:
     On-Site Email:
   
Site Five  
     Institution:
     Technical Contact Name:
     Phone Number:
     Email:
     On-Site Email:

*Required Fields



 

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