<p>CIO/OFT VIDEO CONFERENCING SERVICES VIDEO CONFERENCE SCHEDULING FORM </p><p>GENERAL INFORMATION Agency Name: Today’s date: Agency Billing Number: PAGE: _____ of _____ EVENT INFORMATION</p><p>EVENT NAME: ______DATE: ______Number of Sites: ______</p><p>CONFERENCE: START TIME:______/END TIME: ______EXTENDED SET-UP: ______/TEAR-DOWN: ______(def=15mins)</p><p>TECHNICAL CONTACT INFORMATION (confirmation will be emailed to). All end-point issues are to be funneled THRU this contact:</p><p>NAME:______EMAIL: ______PHONE/CELL: ______/______</p><p>END POINT INFORMATION (ATTACH PAGES AS NECESSARY)</p><p>IP or Dial-out * Max SITE ISDN or H.323 name, SIP name, ISDN #, or phone# (audio) Speed Audio? or Dial-in ** 1</p><p>2</p><p>3</p><p>4</p><p>5</p><p>6</p><p>7</p><p>8</p><p>9</p><p>1 0</p><p>OPTIONS (select ALL that apply) * Consult CIO/OFT Video Services for pricing. Contact CIO/OFT Video Services Unit Dial-in sequences may vary dependent on end-point to discuss usage and applicable fees ** equipment and configuration. 1 PASSWORD PROTECT (4-digit code: ______)</p><p>2 RECURRING CONFERENCE CONFERENCE TYPE (select ONE) 3 ENCRYPTION Default is Option #3 4 PRE-CONFERENCE TESTING VOICE-ACTIVATED – The site speaking 1 becomes the site shown on the screen 5 TECHNICAL VERIFICATION & MONITORING** CONTINUOUS PRESENCE – All sites are 6 LIVE CONFERENCE STREAMING** 2 shown on the screen (aka “quads” or “Hollywood Squares”) 7 RECORDING (Video on Demand, Archiving)** CONTINUOUS PRESENCE WITH VOICE- 8 CLOSED CAPTIONING** ACITIVATED QUAD – A mix, all 3 participants are shown but speaking 9 OPERATOR ATTENDED** voice is displayed in prominent square. 10 HIGH DEFINITION** Current Forms: http://www.cio.ny.gov/support/formsbycat.htm Scheduling Request Form (03/10) Email completed forms to [email protected] Video Conferencing Help Line: (800)234-5364 or (518)474-7857</p>