| General Information |
| Name of Event |
|
| Location - Building/Room# |
|
| Dates - Beginning/Ending |
to |
| Number of Attendees |
|
| Sponsoring Department |
|
| Point of Contact (POC) - Include name, phone extension, e-mail address and pager number if available -- (note: the department POC serves as the approval authority to confirm all ITD support requirements have been met) |
|
Networking
If your event requires special network connectivity, please complete the following section.
If not, proceed to the next section. |
| Will the systems being connected to the network for this event require access
to: |
The
Internet Only (www)
or
BNL Network
(Exchange servers etc.) |
| If you picked the BNL Network above, do
you require access to a particular BNL subnet? If yes, which one? |
Subnet
Access, which Subnet(s)
|
| Approximately how many PCs/laptops will
you require connections for? |
|
| Do you expect these
systems to be assigned IP addresses dynamically (via DHCP)?
(Yes/No)
How many addresses will you need |
Yes
No
|
| Please supply the network jack(s) that
you plan to connect to. The jack number format is BBB-FF-NNN where
BBB is the 3-digit building number, FF is the 2-digit floor number, and
NNN is the individual jack ID. |
|
| Please supply any miscellaneous data
network requirements not specified above. |
|
Telecommunication Support
If your event requires additional or non-standard telecommunication equipment, please complete the following
section. |
| How many telephones will be required (digital and analog type sets)? |
|
| How many unique telephone numbers will be required? |
|
| What type of out bound dialing will be required (local, long distance, international)? |
|
| Will you require a voice conference bridge? If so how many voice ports (maximum = 12)? |
Yes,
How Many Ports
|
| Will you require speakerphones? (if yes how many?) |
Yes, How
Many Speakerphones
|
| How soon before the event will the equipment/service need to be provided? |
|