Videoconferencing Request Service Form

Use this form to submit information to Information Technolgy Services about setting up your upcoming video conference.

(You must reserve the videoconference room, HU-290, through the College of Arts and Sciences at 442-5761 before submitting this request.)


Reservation
How often will you need the videoconferencing facility?

One-time video conference.

Series of video conferences.

Scheduled class.

Please list all date(s) with start and end times.

Local Site
Contact information here at UAlbany (the primary person responsible for requesting and/or participating in the conference).

  Name:                                            Department:                    
        
 Contact Phone:                               Email:                     
    

Additional Local Contact (optional) 
  Name:                                         
    
 Contact Phone:                              Email:                     
    

Remote Site
Contact information of the person at the other site (the primary or technical person who is responsible for the conference from their location).

  Organization:                                         
  Name:                                            Department:                    
        
 Contact Phone:                               Email:                     
       

Additional Remote Contact (optional) 
  Name:                                         
    
 Contact Phone:                              Email:                     
      

Video Conferencing Options

1. Bill charges to:
(Enter either a UAlbany account number or contact information for other billing address).

2. How many people do you anticipate will be attending the conference here at UAlbany?

Only 1
1 to 3 people
3 to 5 people
More than 5 people
Undecided at this time

3. Do you plan on using or have a need for any of the following additional resources during your video conference?
   (Check all that apply).

A Windows computer
VHS tape recorder
Overhead document camera for printed materials
Other
Don't know yet

4. Please use the space below for additional information, comments, or questions.