Interactive Video Conferencing Form for Events - St. George - Continuing Education and Community Engagement - The University of Utah

University of Utah St. George Graduate Center

Requestor Contact Information
*Indicates a required field.

Requestor First Name
Requestor Last Name
University ID
Email
Phone(e.g. xxx-xxx-xxxxs)
Department/College

Event Information

Event Title
Event Date
Start Time
End Time
List each participating location with participant count (e.g. SAEC 3151: 20 participants, St. George: 8 participants, Private residence: 2 participants) *Note: it is your department’s responsibility to schedule each of these locations. This request form is for the video conferencing connection only.
Record the event? Yes No
Additional Information

Last Updated: 3/23/20