Distributed Learning Classroom Request Form

Requestor Unit/Activity *

Requestor Name *

Requestor Phone Number *

Requestor E-mail - ** All requests must include a valid .mil email address - requests made with other email addresses will be considered shared use (chargeable). ** *

Desired Classroom Location *

Start Date * +

End Date * +

Start Time * 🛈

End Time * 🛈

User Type *

Activity Type *

Please designate a senior NCO who will be responsible for the room condition and will be available during your training event(s). A working cell phone contact number is required. Enter the Senior NCO's full name, their mobile email address and their cell phone number where they can be reached below:

Enter your senior NCO's full name: *

Mobile access email address: *

Cell Phone Number: *

Purpose *

Software Required

Number of PAX *

Please enter further recurring events and if additional Support may be required