Video Conference Request Form


NOTE: This form was created to be used by both faculty members in CED as well as in-service teachers. It is meant to obtain information about YOU and your students. Faculty members will need to use the "Other" field to describe the class and make-up of students.

To request a specific type/make-up of a class, please provide that information in the space provided.

Name


Title


School Name


School Phone Number


Email Address


Grade Level
(pick one)

Other
(please describe in the space provided below)

 

Multimedia Equipment Needed

Videoconference Apple Cart Video Cameras Still Cameras

Times and Dates Requested (please be specific)

Educational Purpose of your Conference

 

Tutorial developed by
Brenda F. Carroll, Matthew J. Ross, Tara Stanford, & Susan Watson

URL: http://ced.ncsu.edu/ltrc/studio/workshops/isight/videoconfreq.html
Last Updated: Wednesday, August 24, 2005

LTRC Workshops | College of Education | NC State University