Welcome to the I&IT Learning Site

Request Form Video Streaming and Production

This form serves the following purpose:

(If you are requesting a videoconference that doesn't involve distance learning, please fill out the Videoconference Request instead.)

Name

E-mail

Telephone

Department

Project Title

Type of Event

Check as many as apply:

Campus event
Panel discussion
Q&A
Classroom production
Studio production
Speakers – no podium
Speakers at podium
Audio only
Other please describe:

If this is for a course, please supply the following: Quarter

Course (e.g. 33146)

Location, dates, times

Location/date (if this is event based)

* Please list additional dates in the comments area at the bottom of this form.

Videotape Information

Desired completion date:
How will the completed video(s) be used?
Describe the content (What will viewers learn?)
Would you like your video(s) to be available in streaming video format?	Yes No
Is it important that the event is streamed live?	Yes No
Will any copies be sold or given away?	Yes No
Is this funded by a grant?	Yes No

Comments/ Additional Info

Please type in any additional comments and information below

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Last modified: 2008-05-23