Video Conference Request Form

Important Scheduling Details:

Please contact Conference and Event Services to reserve any of the rooms listed below (except room 418) prior to filling out this request form, they can be reached at

To ensure a successful "Video Conferencing Event", please allow an ample amount of time for network connective testing to the remote site or sites and any other various important video conferencing details that may need to be worked out before the event takes place.  Please schedule your event at least one week in advance

MHC Contact Info
Please provide your contact information
Far End Contact Info
please provide the contact information for the far end of the conference
Is this person the technical contact?
Enter the far end IP address if you have it
Event Details