Zoom Webinar Request Form Zoom Webinar Request Form Request to hold Event or Meeting via a Zoom Webinar Notice:Completed form must be submitted at least 14 days in advance. User InformationName * Required Department * RequiredEmail * Required Contact Phone Number * RequiredEvent InformationName of Event * RequiredEvent DescriptionStart of Event * Required MM slash DD slash YYYY Time: * Required : Hours Minutes AM/PM AM PM AM/PM End of Event * Required MM slash DD slash YYYY Time: * Required : AM/PM AM PM AM/PM Do You Need A Practice Session? Yes No Date MM slash DD slash YYYY Time : Hours Minutes AM/PM AM PM AM/PM Expected Number of Attendees * RequiredLess than 100More than 100 (500 Max)–Based on AvailabilityPanelist ParticipantsList Panelist Names & Email AddressRegistrationWould you like your Attendees to register for the Webinar? Yes No Date For Registration To Be AvailableDate MM slash DD slash YYYY Time : Hours Minutes AM/PM AM PM AM/PM Upload Image to be displayed on Registration PageMax. file size: 6 MB. Description of Event for Registration PageAdditional Options Q&A (Event Technician not responsible to moderate Q&A) Webinar Video Recorded Host/Panelist will need to share screen AV Tech needed for duration of webinar AV Tech needed for start of webinar Notes Δ