MAGPI Internet2 Commons Request Form

		Saturday May 17, 2008

MAGPI/Internet2 Commons Videoconference Request Form

Event Coordinator Contact Information

First and Last Name:

Email Address:

Phone Number:

Institution:

Street Address:

City:

State:

Zip Code:

Event Information

Event Name:

Event Date:

Event Start Time:

Event End Time:

Total Number of Sites:

Videoconference Bit Rate:

Would you like this event streamed?

Yes

Would you like this event archived?
You can archive without streaming

Yes

Event Description: Please describe your event.

Videoconference Layout: How would you like your screen display set-up?

	Voice Activated			One Big, Five Little
	Side-by-Side			One Big, Seven Little
	Two-by-Two			Three-by-Three
	One Big, Three Little

Lecture Mode(The Audience sees only the presenter, while the presenter sees whichever layout option you select above.)

Testing Information:

MAGPI requires that you schedule a minimum of one multi-site test atleast one week prior to your event. As the event coordinator, your site will be responsible for overseeing all testing for all sites participating in your event.

First Test:

Second Test (Optional):

Date:

Start Time:

End Time:

Technical Coordinator Contact Information:

First and Last Name:

Email Address:

Phone Number:

Comments/Special Requests:

Once you hit the "SUBMIT" button, your Internet2 Commons Request will be sent to MAGPI. You should receive an email confirmation within 48 business hours. If you do not receive an email confirmation, your information has not been received. In this event, please contact via email or at 215-573-6417.