Webinar License Request Form

Complete this form to request a Webinar License for your Utah district or school.

Event Host Information:

• District or Institution:
  
• First Name:
• Last Name:
• Email Address:
  (Valid Utah Education Email)
• Retype Email Address:
• Phone Number:
  
 

Event Information:

• Name of Event:
• Date of Event:
• Event Start Time:
• Event End Time:
• Webinar Size - Maximum Participates: ---Select One--- 500 1000
• UETN Support Needed? ---Select One--- Yes No
• If yes, please provide details:
  
 

Additional Information:

• Comments:
  

Verification Code: