Imagery of Regent people and campus

Video Conference Request Form
VB - Off Site

If your VTC is being held in a CLASSROOM or SPECIAL EVENT ROOM you must:

Contact Information

Regent University Contact Information

Your Information

Name:

Phone Number:

Email Address:

 

Have You Scheduled Your VTC
Through the Registrar's Office?

(Type "yes" or "no")

Please Select Your Affiliation:

Are You a First-Time User?:

Do You Need Training?:


Offsite Contact Information

Name of First Off-Campus Location:


Technician Information

Name:

Phone Number:

Email Address:


Name of Second Off-Campus Location:
(if applicable)


Technician Information

Name:

Phone Number:

Email Address:


Event Information

Name of the Event:

Instructor or Speaker Name:

Campus Room Reserved:


Timing

Day of Week:

Date of Event(mm/dd/yyyy):

Start Time:

End Time:

 
Additional Information

Special Instructions or Additional Details:


   

Please Note:

  1. If you need any additional equipment, please indicate in the "Special Instructions" box above. If you are unsure about what specific equipment you may need, please describe your presentation needs below.
  2. If there are multiple dates, please enter the first date in the "Date of event" box and list the other dates in the "Special Instructions" box above.