VTC-Request

Name: *

First

Last

Please enter your First Name and Last Name.

Phone Number: *

Please enter the best phone number to contact you at.

Campus *

Please select the campus that is hosting the web conference or where the main lecturer will be.

School / Department: *

Please select your school or department name.

Event Type: *

Please enter the type of event for the videoconference.

Event Name: *

Please enter a descriptive name for this event. (Example: Faculty Senate Meeting)

Month of Event: *

Please select the month of this videoconference.

Day of Event: *

Please select the day of of this videoconference.

Start Time: *

Please select the actual start time for this videoconference. (Do not build in a buffer)

Duration: *

Please select the duration time for this videoconference.

Select All Participating Campuses: *

Fresno Campus Irvine Campus Los Angeles Campus Sacramento Campus San Diego Campus San Francisco Campus (Emeryville) Other (Specify in Comments)

Please select all locations that will be participating in this videoconference.

Is This a Recurring Event: *

Yes No

Please indicate if this will be a recurring videoconference.

Recurrence Pattern: *

Please select an option only if this will be a recurring videoconference.

Recur every __Day / Week/ Month on: *

Please select an option only if this will be a recurring videoconference.

Recurrence End Date: *

Please select an option only if this will be a recurring videoconference.

Will Training be Required: *

Yes No

Please indicate if you will require advanced training for this videoconference.

Comments: *

Please enter any additional information that will assist Learning Technology to adequately fulfill your videoconference request.

Web-conference Request Form *fields are required