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Event Internet Access Request
Staff in Charge
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First
Last
Email
*
Phone Extension
Department #
Project Code
Event Name
Event Date
MM slash DD slash YYYY
Start Time
Hours
:
Minutes
AM
PM
AM/PM
End Time
Hours
:
Minutes
AM
PM
AM/PM
Event Description
What areas need internet access?
Bistro
Orientation Center
Annenberg Wing
Annenberg Theater/Jorgensen
Atrium
Sheffer/Scheffler
Other
What type(s) of devices are connecting to the Access Point(s)?
Mobile Phone
Laptop Computer
Desktop Computer
Scanner
Other
OTHER - What areas need internet access?
OTHER - What type(s) of devices are connecting to the Access Point(s)?
Projected Attendance
How many devices are connecting?
What programs/websites are being used?
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