Welcome to the CETS Video Teleconference Request Form

Please complete this form from top to bottom, choosing the appropriate buttons, checkboxes and selections in order to provide the information we need to fulfill your request. CETS requires five business days (M-F, 9-5) advance notice to schedule VTC requests. Please do not use this form without 5 business days advance notice, instead call our front desk at 687-7491 during normal business hours.

Requester
NetID:  University Directory (Search for Contact Info)
First Name:
Last Name:
Phone:
Email:
Event Title
Event Name:
Audience size:
Venue Information * 
 I Have Already Reserved A Venue
 I Need A Venue
Event Information *  
Scheduled Class:
Course Number:
Professor:
Not a Scheduled Class:
Please briefly describe your event:
Billing Information Billing information is not required for a scheduled class.
Department:  
Budget Number:  
Date(s) * Please be sure the Date(s) you select match the Day(s) you select below.  
One Time Request
Recurring Request
Start Date:   
Stop Date:   
Day(s) * 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time * 
Start Time: 
Stop Time: 
Technical Information The Remote Location Name and Technical Contact are required. 
Remote Location Name:  *
Technical Contact:
First Name:  *  
Last Name: *  
Phone:
Email:
Comments