Event Request Form

Name*

First Name

Last Name

Email*

Phone*

Department*

Business Office ECIC Related Service Structured Literacy UDL

Other:

Event Title*

Would you like this event added to the event calendar on the CREC website?*

Yes No

Event Schedule

Day 1 Date and Start Time*

:

Day 1 End Time*

:

Day 2 Date and Start Time*

:

Day 2 End Time*

:

Day 3 Date and Start Time *

:

Day 3 End Time*

:

Day 4 Date and Start Time*

:

Day 4 End Time*

:

Day 5 Date and Start Time *

:

Day 5 End Time*

:

Day 1 Requests

How many video conference participants are you expecting on day 1? *

What video conference system will you be using?*

Zoom Microsoft Teams Google Meet Go To Meeting

Other:

Do you need assistance setting up your video conference link for participants on day 1? *

Yes No, I will set up a link myself

How many phone conference participants are you expecting on day 1? *

Do you need assistance setting up your conference phone # for participants on day 1?*

Yes No, I will set up a conference phone # myself

How many in-person participants are you expecting on day 1?*

Please describe how you would like the tables and chairs set up on day 1.*

Any other special requests for day 1?*

Day 2

Day 2 Preferences*

My preferences will be the same as Day 1. I'd like to set custom preferences.

How many video conference participants are you expecting on day 2? *

What video conference system will you be using on day 2?*

Zoom Microsoft Teams Google Meet Go To Meeting

Other:

Do you need assistance setting up your video conference link for participants on day 2? *

Yes No, I will set up a link myself

How many phone conference participants are you expecting on day 2? *

Do you need assistance setting up your conference phone # for participants on day 2?*

Yes No, I will set up a conference phone # myself

How many in-person participants are you expecting on day 2?*

Please describe how you would like the tables and chairs set up on day 2..*

Any other special requests for day 2?*

Day 3

Day 3 Preferences*

My preferences will be the same as Day 1. My preferences will be the same as Day 2. I'd like to set custom preferences.

How many video conference participants are you expecting on day 3? *

What video conference system will you be using on day 3?*

Zoom Microsoft Teams Google Meet Go To Meeting

Other:

Do you need assistance setting up your video conference link for participants on day 3? *

Yes No, I will set up a link myself

How many phone conference participants are you expecting on day 3? *

Do you need assistance setting up your conference phone # for participants on day 3?*

Yes No, I will set up a conference phone # myself

How many in-person participants are you expecting on day 3?*

Please describe how you would like the tables and chairs set up on day 3.*

Any other special requests for day 3?*

Day 4

Day 4 Preferences*

My preferences will be the same as Day 1. My preferences will be the same as Day 2. My preferences will be the same as Day 3 I'd like to set custom preferences.

How many video conference participants are you expecting on day 4? *

What video conference system will you be using on day 4?*

Zoom Microsoft Teams Google Meet Go To Meeting

Other:

Do you need assistance setting up your video conference link for participants on day 4?*

Yes No, I will set up a link myself

How many phone conference participants are you expecting on day 4?*

Do you need assistance setting up your conference phone # for participants on day 4?*

Yes No, I will set up a conference phone # myself

How many in-person participants are you expecting on day 4?*

Please describe how you would like the tables and chairs set up on day 4?*

Any other special requests for day 4?*

Day 5

Day 5 Preferences*

My preferences will be the same as Day 1. My preferences will be the same as Day 2. My preferences will be the same as Day 3 My preferences will be the same as Day 4 I'd like to set custom preferences.

How many video conference participants are you expecting on day 5? *

What video conference system will you be using on day 5?*

Zoom Microsoft Teams Google Meet Go To Meeting

Other:

Do you need assistance setting up your video conference link for participants on day 5?*

Yes No, I will set up a link myself

How many phone conference participants are you expecting on day 5?*

Do you need assistance setting up your conference phone # for participants on day 5?*

Yes No, I will set up a conference phone # myself

How many in-person participants are you expecting on day 5?*

Please describe how you would like the tables and chairs set up on day 5?*

Any other special requests for day 5?*

If you are showing a presentation and/or using any other technical services, please schedule a time with our IT department to come in for testing at least 2 business days before the event. This will reduce tech issues and give our IT department time to troubleshoot any unforseen problems. Thank you and have a wonderful event!