Videoconferencing Request Form : Instructional Technologies Support : Texas State University

Today's Date: *

Requested By: *

Department:

Email Address: *

Phone Number: *

Date of Conference: *

Conference Start Time: *

Length of Conference: *

Cost/Fund Account# *

Cost/Fund Account Manager Name *

How many expected attendees at Texas State?

Number of Presenters?

Equipment Needs:

Will presenter(s) use their own laptop?

Document Camera?

DVD/VHS Player?

Record Session? (DVD format only)

Far Site #1 Contact Information

Department or Company: *

Name of Contact(s): *

Contact's Email(s): *

Contact's Phone Number(s): *

Technical Contact:

Technician's Email:

Conference Room Phone:

Videoconferencing Unit's IP Address:

Far Site #2 Contact Information

Department or Company 2:

Name of Contact(s) 2:

Contact's Email(s) 2:

Contact's Phone Number(s) 2:

Technical Contact 2:

Technician's Email 2:

Conference Room Phone 2:

Videoconferencing Unit's IP Address 2:

Please be patient with us as we test out this new online form system. If immediate response is required, please Call 512-245-2094 for verification that we have received the request. Thank you.

Information Technology

Instructional Technologies Support

Classroom Technology

Quick Links for Instructors

other links

Share This Page

Videoconferencing Request Form

Equipment Needs:

Far Site #1 Contact Information

Far Site #2 Contact Information