Panel Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Panel Request Form

Please fill out the following fields to make your panel request. Fields with an * are required. Provide as much detail as possible. Thank you.

Email *

Instructor's / Main Contact's name *

Instructor's / Main Contact's Phone Number *

What type of presentation is being requested? *

Virtual (Zoom or other similar app)

Face-to-face

Presentation Location: Please note either a physical address, including city, building, and room number for face-to-face OR specific app (Zoom, RingCentral, Bluejeans, etc.) if virtual *

If this presentation is virtual, are we being invited to your platform, or do you wish us to use our Zoom platform?

We will use the school's platform (please send CPS a direct link when confirming the presentation)

We would like to use your Zoom platform (CPS will send you a direct link when confirming the presentation)

Clear selection

If a class, what is the class title?

What is the approximate audience size? *

What is the available nearby parking? *

Parking garage with handicap spaces.

Only street parking.

None available.

None needed (virtual presentation).

Other:

We request that parking passes be made available to our presenters. *

Parking passes will be paid for by the professor/organization/school.

Presenters should bring cash for passes.

Presenters should bring cash and will be reimbursed at a later time by the professor/organization/school.

There are no parking pass requirements.

If the presenters should bring cash, how much is a parking pass at your location?

If face-to-face, please include links to the campus and parking maps.

If face-to-face, what is the technology like in the space? *

Chalk/White board

Smart board

Computer console with USB port

Projector screen

Mics (if lecture hall)

Internet/Wi-Fi available

N/A (virtual presentation)

Other:

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Center for Positive Sexuality.

Does this form look suspicious? Report

Forms