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Presenter Setup Request-Form
Presenter Setup Request-Form
Check the
Presentation Calendar
for availability of the room you wanting to use before continuing.
Requester Information
Requester's Name
*
First
Last
Requestor's Email Address
*
Requester's Phone #
*
Who is Giving the Presentation
*
The requester is giving the presentation
Putting in the request for someone else to give the presentation
Are you giving the presentation yourself or putting in the request for someone else?
If for someone else, please list the name of presenter
*
Contact Phone Number of Presenter
*
Please do not put the Requester's phone number, but put the "Presenter's" phone number.
Meeting/Training Information
Name of Meeting/Training for "Presentation Calendar"
*
Example: CPR Training, Special Ed Meeting
Date of Meeting
*
MM slash DD slash YYYY
Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
End Time
*
:
Hours
Minutes
AM
PM
AM/PM
Will there be 2nd Meeting?
*
No
Yes
Date of 2nd Meeting
*
MM slash DD slash YYYY
2nd Meeting - Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
2nd Meeting - End Time
*
:
Hours
Minutes
AM
PM
AM/PM
Will there be a 3rd Meeting?
*
No
Yes
Date of 3rd Meeting
*
MM slash DD slash YYYY
3rd Meeting - Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
3rd Meeting - End Time
*
:
Hours
Minutes
AM
PM
AM/PM
Location of Meeting
Site
*
Blanton Academy
Blanton Career Plus Center
Blanton CLC Tech
Bridges Academy
CLC 34th Street
Click
here
to view maps for these sites to assist you in selecting the correct room.
Select Room: "Multipurpose/Cafeteria"
*
Multipurpose/Cafeteria/Gym (100 Max)
Times Available: 1pm - 3:30pm. Cafeteria style setup only.
"Blanton Elementary" - Rooms
*
Classroom Room 102 (25 max)
Times Available: 7:30am to 3:30pm. Classroom style setup only.
"Career Plus Center" - Rooms
*
Conference - Room 10 (12 max)
Library - Room 18 (40 max)
Times Available: 7:30am to 3:30pm. Fireside & Conference Room - Conference table style setup only.
"CLC 34th Street" - Rooms
*
Library - Room 12 (45 max)
Classroom D1 (30 max)
Classroom D7 (30 max)
Times Available: 12:30 to 3:30pm
Select "CLC Tech Computer Lab"
*
CLC Tech Computer Lab - Room 8 (24 Max)
Times Available: 1pm - 3:30pm. Lab
not
available all day on Tuesdays and Thursdays. Please check your calendar days before scheduling.
If the Meeting/Training is in a computer lab, please list the specific "software" (with version # if known) that will be used.
Anticipated Number Attending
*
Target Audience
*
Example: Teachers, Students, Principals, etc
Technology Equipment
Please Note: If you bring your own equipment, please plan on being at least 30 minutes early to the meeting for technology setup.
Will you need to access the Internet
*
Yes
No
Do you plan on using any of your own equipment?
*
Yes
No
If "Yes", please list all technology items you plan on bringing:
*
Technology Equipment being requested.
*
No Items Needed
Laptop
LCD Projector
White Screen
SmartBoard
DVD Player
Presenter Pointer
Speakers
Microphone with Speaker System
Other
If no items needed, check "
No Items Needed
". Check all that apply
If "Laptop" was selected, please list any specific software needed. If no additional software needed, please type "No Software Needed".
*
If "Other" was selected, please specify the other technology equipment needed in detail
*
Room Arrangement
How would you like the tables & chairs arranged?
*
Theatre Style - Chairs Only
Classroom Style - Tables/Chairs in Rows
Workshop Style - Tables/Charis with Multiple "Stations" for Groups
Tables/Chairs in "U" Shape
Meeting in 'Computer Lab'; No arrangement necessary
Leave room as is. No setup necessary
Other
Please Note: Depending on how you would like the tables and chair setup might limit the seating capacity in the room for your attendees.
Room Arrangment - "Other"
*
If you selected "Other" for the Room Arrangement, please describe how you would like the table and chairs to be setup. Please be as specific as possible.
Additional Notes or Comments
Please feel free to add any more detailed information regarding your presentation setup needs.
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