Adobe Connect Request

In order to help assure a successful online experience as well as help us manage our limited number of Adobe Connect licenses, please complete the following form.

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________________________________________________________________________________ Instructor (or Requester) Name: Course ID (eg, SP10 GED625 A1): Course Name (eg, Abnormal Psych): Beginning Date/Time of Event: -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Ending Date/Time of Event: -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Event Frequency: One day event One day per week event Multiple days per week event If this is a multi-day event, please provide additional scheduling information here (eg; time/days per week, number of weeks etc.) ________________________________________________________________________________ Location of Instructor/Presenter: Please select a locationArcadiaBakersfieldCoronaMission ValleyPoint LomaOff Site Building and Room number of Instructor/Presenter: Number of licenses (one license is required for each computer logged into Connect): Location of all attendees (press and hold Ctrl to select multiple locations): ArcadiaBakersfieldCoronaMission ValleyPoint LomaOff Site ________________________________________________________________________________ Select the User Model that best describes how Adobe Connect will be used for this presentation/session: Class-to-Class Model: Connecting one class of students and an instructor to another class of students. Example: MV with instructor and 10 students and Arcadia with 10 students. Guest-Lecture Model: Connecting an instructor in one location with a class of students in another location. Example: Phyllis wants to teach students in Bakersfield about library resources. One(s)-to-Class Model: Connecting a student(s) from home to an instructor and class of students. Students-to-Instructor Model: Connecting individual students from their homes/locations to an instructor in their office/location. ________________________________________________________________________________ I want help building the Adobe Connect room: Yes No If Yes, I am available these dates and times: I am available to do a “dry run” of this session on these dates and times: ________________________________________________________________________________ Learning outcomes for the session are as follows: I expect to use the following activities during the event (press and hold Ctrl to select multiple activities): Guest speakerDiscussionQuestion and answerQuizzing or testingDemonstrationCollaborationGroup workStudent input/opinionOther I expect to use the following Adobe Connect features (press and hold Ctrl to select multiple features): VoIP audioAudio over conference phoneVideo of participantsVideo of contentPollingFile sharingScreen sharingApplication sharingStatus optionsBreakout roomsOtherClick here to edit text.