Media Services Request Form

SAS faculty or staff may use this form to request help with recording, duplicating, converting, digitizing or web hosting for audio/ video materials.

Your contact information
First name		Last Name
email address		phone number
Department		Affiliation	Faculty Staff Other
If you're making this request on behalf of someone 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 Other
Describe the type of work you need done
For materials to be posted on the web, let us know If you want to limit access to this material to members of specific courses, or other selected individuals. This is required for any content for which you do not hold copyright, or when you do not have explicit written permission to use content owned by others.

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