Site Visit Request
Please complete this form with the details of your event.
I am Interested in participating in:
*
Tour of the SMART Center
Digital Difference Activity Camp
Presentation at my School/Organization
Customized Webinar for my School, Organization, Business.
SMART FUSION (Collaboration Session with Smart Team)
Lab Reservation
Smart Center Team Admin Use (Internal Only)
Group Name
Direct Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Has your group visited the SMART Center Before?
Yes
No
Reservation Date:
*
Camp Reservation Date:
Number or Participants
*
Number of Chaperones (1 Chaperone per 5 Children)
Please indicate the applicable groups of the participants (You may select multiple groups)
*
6th Grade - 8th Grade
9th Grade - 12th Grade
College
Faculty
Staff
Adults
Which Lab Space Would You Like to Reserve for Your Appointment:
Please Select
Conference Room (Smart Fusion Appt Only)
Academic eSports Lab
Student Staff & Faculty Training Room
Virtual Reality Lab
Smart Media & Music Studio
Dell & Coding Lab
Division
Please Select
Smart Center
Open Educational Resources
HBCU C2
Continuing Education
Academic eSports
Event Type
Please Select
Webinar
Event
In Person Training/Professional Development
Event Title (If Applicable)
Event Start Date
-
Month
-
Day
Year
Date
Event Description
File Upload
Browse Files
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of
Zoom or Recording Link
Please tell us about your site visit focus
*
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