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Videoconferencing

Video Conference Room Reservation Form

Fill out the fields below. We will call you if we have questions, and will confirm your booking by email.

Please refer questions to Bob Klein
NCSU/NC-REN Program Coordinator
at 919-515-3683, bob_klein@ncsu.edu.

Video Conference name and description. * Name: Description: SPAM TEST - please type the number seven:

Number of participants expected at NC State.*

Note: Number may be limited to seating in facility.

Number:

Resources needed. * Internet Access Needed Overhead Document Camera Other (please explain in Comments/Special Needs below.) Comments/Special Needs:

Preferred Location. * Main Campus (under renovation) Centennial Campus

Schedule – First Choice *

Meeting Days

Start Date (mm/dd/yyyy) Start Time (hh:mm am) End Date (mm/dd/yyyy) End Time (hh:mm am)

Schedule – Second Choice. *

Meeting Days

Start Date (mm/dd/yyyy) Start Time (hh:mm am) End Date (mm/dd/yyyy) End Time (hh:mm am)

Schedule – Third Choice. *

Meeting Days

Start Date (mm/dd/yyyy) Start Time (hh:mm am) End Date (mm/dd/yyyy) End Time (hh:mm am)

Primary Contact at NC State*

(e.g. Administrator, Department Head)

Name: Department: Email: Telephone:

Submitted By (if different from above) Name: Department: Email: Telephone:

Is NC State the originating site? *

NCREN Receiving Sites

Name of site:
Number of participates:

Add NCREN Site

NCIH Receiving Sites

You are responsible for contacting each NCIH site coordinator and confirming availability before booking with VCS. Please refer to the NCIH listing to get contact information.

** Disclaimer: There may be charges associated with the use of NCIH facilities

Name of Site: # of Participates:

Have you contacted the NCIH site coordinator?*

Add NCIH Site

Non-NCREN/Non-NCIH Receiving sites.

You are responsible for contacting each Non-NCREN/Non-NCIH site coordinator and confirming availability before booking with VCS.

Name:

Have you contacted the technical staff at the remote site to confirm availability? *

Technical Contact at Remote Site *

Name: Email: Telephone:

Faculty or Administrative Contact at Remote Site

Name: Email: Telephone:

Add Site

DELTA - Distance Education and Learning Technology Applications

Tech Tips

Teach >

Create media

Produce courses

Meet Guidelines

Videoconferencing

Video Conference Room Reservation Form

Meeting Days

Meeting Days

Meeting Days

Have you contacted the NCIH site coordinator?*

Have you contacted the technical staff at the remote site to confirm availability? *

Technical Contact at Remote Site *

Faculty or Administrative Contact at Remote Site

Originating Site Name *

Technical Contact at Originating Site *