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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:



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: