WACO Independent School District - Video Conferencing Request Form

Video Conferencing Request

Please complete this form a minimum of two (2) weeks prior to the video conference. This allows for test calls and configuration of your video conference. After submission, your request will be sent to technology for approval. Scheduling will occur and you will be notified via email.

* Denotes a required field.
Your Site Information:
*	School Name:
*	Department:
Department: Campus/Department Contact Name:
*	First Name: * Last Name:
*	Contact Email:
*	Contact Phone Number:
*	Contact Fax Number:
*	Location where Video Conference will take place:
*	Phone Number of location where Video Conference will take place:
*	Date: (date format: mm/dd/yyyy)
*	Start Time: End Time:
	More Locations?:
Far Site Connection Information:
*	Organization Name:
	If ESC: ESC Session #: ESC Session Title:
Contact Name:
*	First Name: * Last Name:
*	Contact Email:
*	Contact Phone Number:
	Contact Fax Number:
	Technical Contact (if different from Contact Person):
	Technical Email Address:
	Technical Phone Number:
Cost:
Is there any cost related to this conference? (if yes,information below is required) Yes: No
If yes, person responsible for payment:
Name:
Phone:
Email: