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Your Name (required):
Your Email (required):
Subject or Course Title
Instructor/presenter name(s) (if applicable)
Description of Event/Course
Instructor/presenter contact information during course/event (if applicable)
Instructor/presenter provided equipment (if applicable)
PC Laptop, MAC Laptop, overhead projector, etc.
Daily Start Time —Please choose an option—7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM
Daily End Time —Please choose an option—7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM
If the times of the course vary, please list the times in the Special Instructions field.
Primary Requested Dates (mm/dd/yyyy)
Start Date: End Date:
Alternate Requested Dates (mm/dd/yyyy)
Event Type —Please choose an option—Training CourseMeetingForum
Anticipated Number of Attendees
Wireless Internet Connectivity Available Throughout Facility
Participants to use their own laptopsN/A
Please Indicate Equipment Required
Projector/Screen
Podium
Flip Charts
How Many?
Breakout Rooms
Video Recording Event
Presenter Table
Mobile Marker Boards
Choose Room Layout
Classroom Style
Pod Style
POC Name
POC Email Address
POC Phone Number
Alternate POC Name
Alternate POC Email
Alternate POC Phone Number
Instructor Type (required)
NASA (civil servant or contractor)Non-NASA
Instructor Arrival Time
Special Instructions
Please type in the characters you see below in the field provided:
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