Wufoo
CON Classroom/Conference Room/Computer Lab Request
Classroom and Computer Lab request must be submitted at least 3 days in advance.
Conference rooms request must be submitted at least 1 day in advance.
Note:
The Health Sciences Building lobbies are reserved with Jan Bane 706-721-4176.
Questions: NURSING@augusta.edu or 706-721-3771.
Event Meeting Name
*
Contact Name and Email
Event/Meeting Date
*
MM
/
DD
/
YYYY
Event/Meeting Start Time
HH
:
MM
:
SS
AM
PM
AM/PM
Event/Meeting End Time
HH
:
MM
:
SS
AM
PM
AM/PM
Approximate Set-up Time
HH
:
MM
:
SS
AM
PM
AM/PM
Is the event/meeting reoccurring?
*
Yes
No
List reoccurring dates and times
Approximate number of participants
*
Enter
1
to
200
digits.
Currently Used:
0
digits.
Building
EC-Health Sciences
Other (Describe below)
If other building, please list
Room Type
Classroom
Computer Lab
Conference Room
Not Applicable
Preferred Room(s)- Please specify room number
*
Do you need to reserve a room in Athens?
Yes
No
Not Applicable
AV Support and Equipment (Only for Classrooms)
Computer, Projector, and Internet
Digital Audio Recorder
Document Camera
Access Laptop Adapters
Laser Pointer
Microphone - Lapel/Body
Microphone - Podium
Microphone - Table
Microphone - Wired
Microphone - Handheld
Podium
Portable Audio System
Projector
Teleconference Device
Catch Box Mic
ECHO360
Video Connection Type
Yes, Teams
Yes, Zoom
Yes, IP to Athens
Not Applicable
Start Time
HH
:
MM
:
SS
AM
PM
AM/PM
End Time
HH
:
MM
:
SS
AM
PM
AM/PM
Video Connection Notes
Echo 360
Not Applicable
Yes
No
Echo 360 File Location
Notes
Check All That Apply
First Choice
Second Choice
Third Choice
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