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Chapter Zoom Request Form
Please fill out the form below if you would like to request a Zoom set up for one of your chapter meetings and/or functions. For further questions, please reach out to National VPSA, Bang Co at
bangco@kkpsi.org
.
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* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Home Chapter
*
Your answer
Name of event and purpose
*
Your answer
How long does this event last?
*
30 minutes
1 hour
1.5 hours
2 hours
Primary Date
*
MM
/
DD
/
YYYY
Primary Time
*
Time
:
AM
PM
Back-Up Date
MM
/
DD
/
YYYY
Back-Up Time
Time
:
AM
PM
Is this a one-time event or reoccurring?
*
One-Time
Reoccurring
If reoccurring, then please describe the frequency of the events and when (dates/times) they will need to take place. Please add details, not including the dates/times listed above.
Your answer
Do you need this session recorded?
*
YES
NO
Will you need technical assistance? (i.e. streamlining voting and chapter feedback, using breakout rooms to have group discussion, screen share, best practices for creating an efficient environment for your event or meeting)
*
YES
NO
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