IT Event Request

UHC IT Event Request Form

Please complete this form no later than 48 hours before the scheduled event date, or 7 days before a weekend event. IT cannot guarantee support for events without a submitted IT Event Setup Request form by these deadlines. Please contact the UHC IT department if you have any questions - TrackIT@uhcno.edu or (504) 398-2106
Event Name
Event Location
Residence Hall room
Classrooms

Other
Event Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event Start Time

Hour Minutes

AM/PM Option
Event End Time

Hour Minutes

AM/PM Option
Contact Name

First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Equipment Requested

Other
Laptop Quantity
Microphone Type
Handheld Microphone Quantity
Lavalier (lapel) Microphone Quantity
Network Access
What type of network access is needed
Who will need wireless access during your event?
How many guests are expected at the event?
Names and Email Addresses of those requiring access
Device types and MAC addresses of hardware needing wired access
Comments/Questions
Should be Empty:

UHC IT Event Request Form