Project Request Form

Video Request Form

Contact Information
Please complete the information below to request video coverage of your event. Completion of this form does not automatically confirm that a requested event will be videotaped. We will review your request and contact your within two (2) business days.
Subject of Video:
Department/Unit:
Event Details:
Event Title:
Event Date:
Event Time (e.g. 7:00 pm):
Primary Contact Name:
E-mail Address of Primary Contact:
Work/Cell Phone Number of Primary Contact:
Backup Contact Name:
E-mail Address of Backup Contact:
Work/Cell Phone Number for Backup Contact:
Distribution: (Check all that apply)
	The video is only for archival purposes.
	Provide a DVD copy of the event. Number of copies requested:
	Edit video for appropriate use (examples: for use on the Web, for TV, for classroom, other). Please specify video types:
	No need to edit video at this time.
If this project needs further instruction, please explain here: