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Videoconferencing Request Form
Educational Technology Resource Center | DoIT

*required
Requestor Information
*First name:
*Last name: 
*Department:
Title:
Organization
(if not Roosevelt): 
Organization address:
*Daytime phone:
*E-Mail:
  
Type of Programming
Educational/Instructional (specify course & section)
Administrative Meeting (specify title or type)
Other (specify)


 
Date and Time Needed View the Calendar
Note: You must allow for a 15-minute transition period between events. For example, if an event is scheduled from 1:00 - 3:00, prior events must end by 12:45; events scheduled later that day cannot begin until 3:15. Please take this into consideration when scheduling.
 
Month: Day:  Year:
Start Time: End Time:
 
Sites involved
Auditorium Room 309/311 Estimated Number of People
Schaumburg Room 614 or 809 Estimated Number of People
Gage Building Room 407 Estimated Number of People
Other (give complete information-name of location, contact person, phone & fax numbers, bonded system number if available, number of people, etc.)


 
 
Requirements

(technical support, document camera, video playback, PowerPoint, etc.):


 

DoIT | Educational Technology Resource Center

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Schaumburg 1400 N. Roosevelt Blvd, Schaumburg, IL 60173 | 847-619-7300