Instructional Technology Lab ::: IP Videoconferencing

Video Conference Request Form All video conferences are held in the the Paulina Street Building, 1140 South Paulina St, Room B8. Room Capacity: 1 - 25 people Times and dates must be confirmed at least two work weeks before the actual event.
Local Contact Information
Name:
Netid:
Dept:
Phone:
Email:

Remote Contact Information
Primary Contact's Name:
Email:
Tech Contact's Name:
Tech Contact's Phone:
Tech Contact's Email:
VC Unit IP Address:

Conference Information
Number of Sites (including UIC):
Number of local Attendees:
Duration (in hours):

Purpose:


Preferred Date and Time:
Date (Use mm/dd/yy)
From	To

Alternate Date and Time:
Date (Use mm/dd/yy)
From	To