MEDIA SERVICES REQUEST FORM First Name: * Last Name: * E-Mail Address: * Phone Number: * ### - ### - #### Affiliation: * - Select One - Faculty Staff Student Department: Contact (if different from requestor): TAPE/MEDIA DUPLICATION All duplication requests are REQUIRED to complete a copyright clearance form. A link to this form will be provided on the confirmation page after you submit this form. Print out and complete the copyright clearance form and send it to the Media Services office located in HC115B. The requestor must supply the type of media that will be recorded onto. The Media Services Department does NOT supply any media to the requestor. Source material you are submiting for duplication: Digital File VHS MiniDV CD DVD Other Recording To: VHS MiniDV CD DVD Digital File Other Number of copies required: EVENT TAPINGS Date of event: Type of event: University Event Classroom Session Special Projects Other Briefly explain what you will need for this event: DIGITIZING VIDEO Source Material VHS MiniDV CD DVD Other NON-LINEAR EDITING</> Briefly explain how you want your project to be edited: DVD AUTHORING Briefly explain how you want your project to be authored onto a DVD: EXPORTING VIDEO TO A DIGITAL FILE Example: type of file - (WMV, AVI, MPEG, MOV, etc), bit rate, frame size, etc. Please supply as much information as possible for your file: What is this file going to be used for as the final product?: STREAMING MEDIA SERVICES •Briefly explain what you will need streamed •About how long it will be •Is there PowerPoint slides included? •When and where it will take place Description: Do Not Fill This Out
