HIV Pre-Recording or Practice Request Form
Name of Training
*
Status of Event
Requested
Zoom Link Created
Zoom Event Link
Requester Name
*
First Name
Last Name
Email
*
example@example.com
Select the type of Zoom request
Pre-Recording
Practice Run of Show
Other
Do you need presenters/trainers pre-recorded. MPHI will contact you for additional details.
Yes
No
Unsure
Please identify your 1st and 2nd choice of dates for pre-recording or practice session.
Please share the ideal date to conduct a presenter recording. MPHI will contact you for additional details (time and additional optional dates)
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Month
-
Day
Year
Date
Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Please share the ideal date to conduct a presenter recording. MPHI will contact you for additional details (time and additional optional dates)
-
Month
-
Day
Year
Date
Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Please upload any relevant documents. (e.g. schedule of recordings, powerpoint)
Browse Files
Cancel
of
Browse Files
Cancel
of
Pre-Recording/Practice Session - Enter the name of the presenters and email addresses
*
Number of breakout sessions
Please provide any poll questions you may need:
Submit
Should be Empty: