*required fields are denoted with an asterisk
Contact Information
Name*:
Phone*:
Email*:
Fax:
GSU Contact (if different than requestor)
Name:
Phone:
Email:
Event Information
Service requested*: videoconference room reservation other
Preferred Location*: College of Ed 2150 College of Ed 2151 Nessmith-Lane 1701 COBA 2207 Science & Tech 1131 Note: This option is merely a preference. We will assign the room based on availability.
Program or conference description*: Please be specific. Make sure to include program title and organization. If this event is a videoconference, please include as much information as possible (including IP address of the remote site).
Date of event*:
Start Time*:
End Time*:
Expected Attendance:
For videoconferences only:
Facilitator Needed*: yes no -The rate for having a facilitator is $10.00/hr. If you choose not to have one, there will be no one present during the conference to oversee everything. Other charges may apply.
Other sites involved in the conference:
Site 1:
Contact Person:
Site 2:
Other sites:
Additional Comments: Please note: This is a scheduling request. You will be contacted with confirmation or denial information, including the Georgia Southern room the conference will be held in.
