Audio/Video Recording Request Form

Please note:

• Provide as much lead time as possible for your request; we can not assure that service will be available when we have less business days advance notice.
• Support of School of Arts and Sciences (SAS) classes is given priority
  and is provided free of charge.
• Service requests for non course related events for may incur rental and staff fees and are subject to availability.  Please see our rate sheet for more information.

Your contact information
First name		Last Name
email address		phone number
Department		Affiliation	Faculty Staff Student Other
If you're making this request on behalf of somone else, please identify that person; students, please identify the instructor for your course
First name		Last Name
email address		phone number
Department		Affiliation	Faculty Staff Student Other
Event Information
Is this request related to an SAS class or special event?			SAS Class SAS Event Other Event Other
Are you a TA asking that your class be recorded for evaluation?
Course number or event description
Location of class or event
Building		Room #
When does the class session or event take place?
Date (mm/dd/yyyy		01 02 03 04 05 06 07 08 09 10 11 12 / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2008 2009 2010
Start time
End time
Describe the nature of the event. Include the estimated attendance, number of speakers, event format (lecture, panel, rountable, etc.)
What type of recording do you want to do?
audio only video
What do you want as the finished product for this recording ?
DVD audio CD put online for web access
other
If you want to put the recording online, should the material be availeble to the public, or should access be restricted to specific users? Please explain.
Other instructions or information about this request

Last modified: Friday, 28-Mar-2008 10:51:47 EDT