Requester Information:

• * Name:
• * E-mail Address:
• * Phone Number: () -   ext.

Event Information:

• * Event Name:
• Do Not Monitor   (This option is for privacy / protection of content of scheduled events.)
• * Date of Event:
• Connect Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm
• * Start Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm
• * End Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm

* Event Type:

• Video Conference only

  Selecting sites does not guarantee availability. UEN will send an email once sites are confirmed.

  UEN Educational Certified Locations:
  ALTA-HS-A ALTAMONT-HS AMERICAN-FORK-HS AMERICAN-LEADERSHIP-HS BEAR-RIVER-HS BEAVER-HS-A BEN-LOMOND-HS BINGHAM-HS-A BLUE PEAK-HS BONNEVILLE-HS BRIGHTON-HS BRYCE-VALLEY-HS CANYON-VIEW-HS CARBON-HS CEDAR-HS CITY-ACADEMY-HS COPPER-HILLS-HS DELTA-HS DIXIE STATE COLLEGE DUCHESNE-HS DUGWAY-HS EASTHOLLYWOOD-HS-A ECCLES BROADCAST CENTER - CREDIT-UNION ECCLES BROADCAST CENTER - DUMKE ECCLES BROADCAST CENTER - HARRIS ECCLES BROADCAST CENTER - TECHSERVICES EMERY-HS ENTERPRISE-HS ESCALANTE-HS ESKDALE-HS FAST-FORWARD-HS FERRON -ELEMENTARY FREMONT-HS GRANITE EDUCATION CENTER GRANITE TECH INSTITUTE GRANTSVILLE-HS GRANTSVILLE-HS GREEN-RIVER-HS GROUSE-CREEK-HS GUNNISON-HS HANKSVILLE-ELEMENTARY HERRIMAN-HS HILLCREST-HS HUNTER-HS ITINERIS-HS JORDAN-HS JUAB-HS KANAB-HS LAKE-POWELL-HS LEGACY-ACADEMY-HS LEHI-HS LIBERTY-ACADEMY LONEPEAK-HS MANILA-HS MANTI-HS MAPLE-MT-HS MERIT-ACADEMY MILFORD-HS MILLARD-HS MONTICELL FAMILY LEARNING CENTER MONTICELLO-HS MONTIZUMA CREEK FAMILY LEARNING CENTER MONUMENT VALLEY FAMILY LEARNING CENTER MONUMENTVALLEY-HS MORGAN HS MOUNTAIN-CREST-HS MOUNTAIN-VIEW-HS NAVAJO-MT-HS NORTH-SANPETE-HS NORTH-SEVIER-HS NORTH-SUMMIT-HS NUES OGDEN-HS OLYMPUS-HS OREM-HS OREM-HS-B PANGUITCH-HS PARK-VALLEY-HS PAROWAN-HS PAYSON-HS-A PIUTE-HS PLEASANT-GROVE-HS PROVO-HS REGENTS RICH-HS RIVERTON-HS ROCKWELL-CHARTER-HS SALEM-HILLS SALT LAKE COMMUNITY COLLEGE SAN-JUAN-HS SEDC SESC SKYVIEW-HS SNOW COLLEGE SNOW COLLEGE RICHFIELD SOUTHERN UTAH UNIVERSITY SOUTH-SEVIER-HS SOUTH-SUMMIT-HS SPANISH-FORK-HS SPRINGVILLE-HS STANSBURY-HS SUGAR SALEM HS B TABIONA-HS TIMPANOGOS-HS TINTIC-HS TOOELE-HS TUACAHN-HS UINTAH RIVER HS UNION-HS-A UNIVERSITY OF UTAH USOE MOBILE USOE STUDIO UTAH SCHOOLS FOR THE DEAF AND BLIND UTAH STATE UNIVERSITY UTAH STATE UNIVERSITY - EASTERN UTAH STATE UNIVERSITY - SOUTHERN UTAH STATE OFFICE OF EDUCATION UTAH VALLEY UNIVERSITY VALLEY-HS WALDEN-SCHOOL WASATCH-HS WAYNE-HS WENDOVER-HS WEST-DESERT-HS WEST-JORDAN-HS WESTLAKE-HS WEST-SIDE-HS WHITE-HORSE-HS WSU	Add >   <  Remove
  State Government Locations:
  Department of Human Services Department of Public Safety Cal Rampton office Department of Public Safety Draper office Department of Alcohol Beverage Control Department of Emergency Management Department of Environmental Quality Department of Financial Institutions Department of Health Department of Natural Resources Department of Transportation Hurricane office Department of Transportation Ogden office Department of Transportation Orem office Department of Transportation Price office Department of Transportation Salt Lake office Division of Facilities Construction Management Division of Wildlife Resources Cedar City office Division of Wildlife Resources Ogden office Division of Wildlife Resources Price office Division of Wildlife Resources Quail Creek office Division of Wildlife Resources Salt Lake office Division of Wildlife Resources Springville office Division of Wildlife Resources St. George office Division of Wildlife Resources Vernal office Governors Office Economic Development State Capital State Office Building State Tax Commission Veterans Administration Weber County Health Department Work Force Services Cedar City office Work Force Services Logan office Work Force Services Salt Lake office Work Force Services St. George office

  Questions for EBC Rooms:

  • * Will you need an in-room equipment-usage facilitator? - Select -No, we do not need a facilitatorYES, we WILL need a facilitator
  • * Will you need the in-room Computer? (Dumke Conference Room Only) - Select -NoYESYES, and the computer should use in-room AUDIO as well
  • * Will you be bringing a laptop to use? - Select -NoYESYES, and the laptop should use in-room AUDIO as well
  • * Will you need Internet access? - Select -NoYES, wired accessYES, wireless access
  • * If using internet, how will you gain access? - Select -We will have a UNID login readyWe will need GUEST access
  • * Will you be using the projector, whether it be with a computer or anything else? - Select -NoYESYES, with the in-room computerYES, with a laptop
  • * Will you need to play a DVD or Blu-Ray with the in-room equipment? - Select -NoYES
  • * Will you need a speakerphone? - Select -NoYES

  Desktop/Movi and Non-certified Locations:
  

  Add another location

  * Please tell us how many people will be attending at each selected site:
• Video and Phone/Audio Conference  
• Phone/Audio Conference only   (UEN has a Salt Lake City local number only.)
  Number of Phone lines needed to dial into the event:   

Other Information:

• Do you want this event streamed / recorded? - Select -NoYes - streamedYes - recordedYes - streamed and recorded
• Quantity of projected live streaming participants:
• Other Comments, Information or Requests:

* Verification Code:

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