Telephone Call-In Instructions:

Name: ______________________________________________________

Location: ____________________________________________________

State: ______________________________________________________

Phone Number: ________________________________________________

INSTRUCTIONS:

The phone you use should be located as far from the television monitor as possible.

The phone number for questions will be announced during the videoconference.

Read your prepared question.  Please ask only one question, as others will be waiting with questions.

PREPARED QUESTION:

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

Please remember to give your name, course location and state.

Thank you for asking your question.   You may be sure that there are other course participants who will appreciate your asking the question for them.

If you have any unanswered questions at the end of class, please turn this form to your local site facilitator who will forward it to the appropriate person.

Thank you for your participation.