Media Services

Video Request Form - Live Events

Use this form to request the videotaping of your live event; includes presentations, guest speakers, senior seminar presentations, training sessions, interviews, etc...

Contact Information

Requestor's Status:

                                   

Name:

Email Address:

Phone Number:

 

Video Information

Viewing Options (Select all applicable formats):

                    

If other, please explain:

Date of Event:

Shooting Location:

Requestor's Organization/Department:

Have you received approval from your supervisor for this project (if applicable)?

                                   

DVD Copies (estimated number to be produced):

Budget Account (for charge back of media supplies):

Does this video contain copyright material (i.e. music, presentation, images)?

                                   

If so, have you received written approval (as needed)?

Additional Comments: