Please fill out the form below completely so we can accurately prepare our conference room to meet your needs.

Thanks!

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The following fields are required:
	Presenter's Name:
	Contact Information:
	Event Name:
	Event Dates / Times:
	Event Description:
	Expected number of people attending:
	Room Setup Style:		Traditional Classroom Hollow Square "U" Shape Pods, with people per pod. Rows of Chairs
	Notes:
Will you be presenting from a computer and projector?
	Yes No
	If so, do you require us to provide:
		a computer to present from? a projector connected to the computer?
	If the presenter is bringing their own computer, is it an Apple?
		If Yes please inform the presenter of the following:
		If you plan to use our projector, you must bring your Apple VGA adapter that came with your computer. If you do not have this, you will need to bring a different computer, or we can provide you with a PC to present with. If you plan on using our PC, please make sure your presentation is saved in a PC compatible format.
	Do you require any of these additional accessories? Our presentation computers are laptops.
		an external mouse an external keyboard external speakers
Notes:
	Please have your presentation on alternate media in case your computer does not work with our projectors. Acceptable alternatives are USB thumb drives, CD's, DVD's or other similar media.
Do you prefer to present from a podium or a table?
	Podium Table Neither
Will you be presenting video from a DVD or VHS tape? We prefer DVD over VHS if available.
	DVD VHS
	We generally play DVD's through the computer to project it onto the screen. Do you have a need to display both your presentation and DVD video simultaneously?
		Yes, I need to project my computer onto the screen and a DVD on a TV at the same time. No. Playing my DVD though the computer is acceptable.
Do you need Internet access?
	Yes No
	Notes:
		We have wireless internet access in the Administration building, but not in East Campus or Freedom Acres.
Do you require any additional equipment needs?
	a conference phone a transparency projector a document camera Document Cameras are similar to transparency projectors with the exception that they do not require transparency media to work.
Do you require a microphone and P A system? Only necessary for more than 30 people.
	Yes No
	If Yes, select additional options:
		Lapel Mic Hand Held Mic Additional Hand Held Mic Hand Held Mic Stand
Do the participants need laptops? We only have 30 laptops. They are available on a first come, first serve basis.
	Yes
		Quantity:
		Duration:	Select an option below: Three or Less Hours Over Three Hours (How long will these be powered on.)
	No
Will the participants have the need to print?
	Yes No
Note:
	Please direct requests for easels, white board markers, etc to the department responsible for the meeting / conference.
Additional Comments:
Where can we direct this room setup request? If you are unsure, leave the default "Receptionist" selected.
	Receptionist Tracy Dickinson (Receptionist) Technology Support (Dave Erbes) Janet Selleck (General Education) Jacqui Barr (East Campus) Michaelean Patterson (Special Education) Terri Thomas (Special Education) Cathy Wilson (Human Resources) Margaret Sawtell (Freedom Acres) Catherine Sage (Autism Spectrum Disorders)