Time and Date (US Central Standard Time) 

* Date:  

* Start Time: AM PM  

* End Time:    AM PM  

Note: The call will be placed 10 mins. prior to the scheduled start time.

Meeting/Class Contact Information

* Name:  

* Campus Phone: (Format: 2-XXXX)    

* Email:  

Need training on Videoconferencing?

Yes

No

Alternate Contact Person

Name:

Campus Phone: (Format: 2-XXXX)

Meeting Information

* Meeting Name:  

* Meeting Location:   NH221 NH319A NH327C NH327D

Will PC data be sent through the video conference?

No

Yes

Please list the name and IP addresses of all participanting sites.
Including the originating site:  

Additional Event Information

Is this a recurring call?

No

Yes

If yes, what is the frequency?(required for recurring events)

Daily

Weekly

Monthly

If weekly, please specify which days:

Sun

Mon

Tues

Wed

Thur

Fri

Sat

If you requested a recurring monthly meeting, please indicate recurring dates here:

  * Indicates required fields.

Upon submission the CSN Helpdesk will contact you to confirm your request.