Videoconferencing Request Form

Request Form

This form allows you to request scheduling of a videoconferencing facility but does not guarantee it. Please aid us in fulfilling your request by filling out the fields with the appropriate information. After submitting the form, a representative from Communications & Network Services (CNS) will contact the individual indicated on the form to verify room availability and needs.

If you are new to videoconferencing or have questions feel free to contact Ken Peters at (717) 871-5868.

Fields labeled with * are required for submission.

Step 1: Billing Information

Please read this step carefully

No fees apply for Millersville University use of these facilities but there may be long distance telephone charges for calls that use ISDN. These charges are likely to incur if Millersville initiates the call; in this case a budget code will have to be provided. ISDN videoconferences initiated by the other location, calls amongst State System of Higher Education Schools or h.323 calls will not incur charges.

The videoconference facilities are also available for use by non-Millersville University organizations for a fee. Please contact Dining and Conferencing Services at 717-872-3443 for rates and scheduling.

Step 2: Requestor's Information

Note: This step is for the person requesting videoconferencing facilities.



(for billing purposes)
(if applicable)



Step 3: Contact Information

Note: This step is for the person to contact for all types of correspondence.



Step 4: Conference Information (if multiple dates, please indicate below)

(please specify months or dates needed)








Questions/Comments