Contact Details

First Name:
Last Name:
E-mail:
Confirm E-mail:
Phone:

Non-OISE Events CC/FC numbers:


Are you submitting this form for someone else? Yes

Alternate Contact Details

First Name:
Last Name:
E-mail:
Confirm E-mail:
Phone:

Event Details

Event Name:
Event Date: (YYYY-MM-DD)

Event Start:
Event End:

Recurring every: days weeks months Until:
Other Dates:

I would prefer this event take place via:

Adobe Connect
Accordent Capture Station
Not Sure

The following elements are an essential part of the event I am planning:

I need to see and hear some or all of the remote site participants.
Remote site participants will need a chat option for typed communication.
Remote participants need to see my powerpoint or shared desktop.
I have video or audio to share as part of my presentation.

Additional Info/Comments: