LOUISIANA TECH UNIVERSITY
COMPRESSED VIDEO ROOM RESERVATION FORM

SUBMIT TO:
CENTER FOR INSTRUCTIONAL TECHNOLOGY
AND DISTANCE LEARNING
P.O. BOX 10167
1014 Wyly Tower
RUSTON, LA 71272
citdl@latech.edu
INTRA-CAMPUS MAIL - BOX 49

 

Date of Request:

College and Department:

Business or Corporation:

Request made by:

Address:

Telephone Number:

E-mail:

Session Name:

First Choice Date of Compressed Videoconference:
Time:

Second Choice Date of Compressed Videoconference:
Time:

Participating Sites:




Is this program event sponsored by grant funds? Yes No

NOTE: This form must be received by the Center for Instructional Technology and Distance Learning no later than five working days before the requested session/event date at the above address or at Campus Box 26. If you have any questions, please contact Kathy Caraway or David Cargill at 257-2912 or e-mail citdl@latech.edu.

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