Webinar Request Form Webinar Request Form Please use this form to submit a request to host a Pitzer Webinar through Zoom Primary contact or coordinator for webinar* First Last Contact / coordinator email* Day of webinar?* MM slash DD slash YYYY Start time* : Hours Minutes AM PM NOTE: the webinar will be open to Panelists and other support staff a half hour ahead of this start time. End time* : Hours Minutes AM PM NOTE: Only estimateTitle of webinar* Description of webinar*For additional information displayed on registration page. Banner image Drop files here or Select files Max. file size: 1 MB. Banner image for registration/invitation page. Image requirements: GIF,JPG/JPEG or 24-bit PNG The suggested dimensions: 640px by 200px The maximum dimensions: 1280px by 1280px Maximum file size: 1024KBDisplay contact email on description page?* Yes No Select other for alternate contactQuestions and Answers feature enabled?* Yes No Chat feature enabled?* Yes No NOTE: Panelists, Hosts, and Co-Hosts will always be able to privately chat amongst themselves, regardless selection.Password protect webinar?* Yes No A password restricts webinar as a private event, where attendees require a password to connect. No password means the webinar is open to the public.Attendee registration?* Yes No Attendees must register with a valid email address to view the Webinar which can be collected and used to send follow-up emails or links to the recorded webinar. This also means that promotional materials can be sent out prior to the webinar to anyone who has registered.Send reminder email to registered Attendees and Panelists?* Yes No Reminder date and timeRecord webinar?* Yes No A link to the webinar will be available in approximately 1-2 business days after event.Please provide a list of Panelists including their email addresses*First NameLast NameEmail Address At least one must be designated before the webinar can be scheduled. If any other support staff are needed to have a role in the webinar, they should be listed here as well. Additional details or special instructionsPlease provide any additional details or special instructions for your event. Such as if your event is over multiple days.