Media Production Request Form Haggard Hall 113, MS 9059 516 High Street Bellingham, WA 98225 firstname.lastname@example.org 360-650-3302 Contact Info Name * Your Title E-mail * Department Dept. Mail Stop Phone Number * Alternative Phone Number Submission Date Production Details If you are requesting multiple events please fill out a separate Production Request for each event. Production Title * Day of Event * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Event Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Event Stop Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm This event may exceed anticipated stop time This event may exceed anticipated stop time. Event Location * The exact classroom number, studio, off campus location, etc. Example: Haggard Hall 113 Is the event off campus? Yes No Note: Off campus production typically incurs an additional cost. To find out more about how much this might cost click here. If you are submitting a Media Production Request within 10 days of the event: We will do everything we can to accommodate short notice requests, however, we may not have staff available. If your request is short notice and/or after hours it may incur a charge. Production Features This is a: Video Conference Interview/Panel Discussion Lecture/Presentation Promotional Piece Class Recording Candidate Search Training/Instructional Video Western Window Related Other Show Pricing Show Pricing Your browser does not support iframes Further Details What department is this for? Who/what part of the University is being trained? Please describe the subject of the video. This candidate search is at the Dean level or higher. Yes No Please Note: Video Services does not typically record candidate searches below Dean level. If you would like to talk with us about options, please call 360-650-3302. Name/CRN # of class to be videotaped Class Options This is a one-time occurrence. I would like more than one class recorded. How many sites are you connecting to? 1 2 3 Other Please list the name/phone # for each of the technical contacts for the test call. Interview/Panel Discussion - This panel discussion will have a moderator/facilitator. The moderator/facilitator will need a podium. I need room amplification for the audience. Check all that apply: I need a podium. I need a microphone and room amplification. There will be a video, Powerpoint, or slide presentation. (Upload them below.) Someone will introduce the speaker. There will also be guest speakers. I will need a projector Expected Audience Size Under 25 People 25-50 People 50-100 People Over 100 People Please enter the number of guest speakers: Powerpoint File Upload Please attach a copy of the Powerpoint presentation. If you are unable to, we will provide a jump drive for you to transfer it to on the day of the event.Files must be less than 16 MB.Allowed file types: jpg jpeg png ppt pptx. Additional Information Please provide additional information about the event. (alternate contacts, how many people on discussion panel, what you want the project to look like, how many guest speakers, etc.) Target Audience This video will be for a general audience across campus, the community, and the world. This video has a specific audience. Target Audience Please describe who the video will be directed towards. Does this event have co-sponsors, partners and/or collaborators? * Yes No Please list your co-sponsors or partners. Are you charging admission for this event? Yes Make my video available via: * Canvas University Youtube channel Individual College Youtube channel Put on a hard drive or jump drive Media Server for individual classroom use Playable DVD Data DVD Office 365 Live streaming to the internet I would like to submit this to Bellingham Public Access TV I would like to submit this to TVW I would like to submit this to Western TV Channel 26 Other Specify Other Please bring your hard drive or jump drive to Haggard Hall 113. Please Note: Please note: Live streaming incurs extra data charges. To find out more about how much it might cost, look here. Public access television submission is the responsibility of the producer. Please see Bellingham Public Access TV submission guidelines. Submissions to TVW are dependent upon the editorial decision of University Relations. Submissions to Western Channel 26 are dependent upon the editorial decision of University Relations. Canvas Information Please enter your Canvas information. Title of Production: Short description of the event: Please enter a longer, more detailed, one-paragraph description. Please complete a Guest Release Form and attach it below. DVD Title Please enter what you want your DVD to be titled. Print DVD Picture Print DVD with Picture DVD Picture File Please make sure the picture attached is a .jpg, or a .png file at least 4”x4” at 150 dpi.Files must be less than 15 MB.Allowed file types: jpg jpeg png eps tif pict psd txt rtf html pdf doc docx ppt pptx. Upload Guest Release Form Files must be less than 6 MB.Allowed file types: jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Finished Production What needs to be done once the footage is shot? Don’t touch it. Please give me the raw footage on a jump drive. Make it conform to University basic standards for digital posting: Please add a the Western logo, a title, name identification on the screen and then post it for me. Make it look pretty: please do the above and then add slides and/or video as well. I know what I want. Here are my specific instructions: Specific Instructions When Would You Like This Delivered? Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 When would you like the finished product? Feedback This is a new form specific to Video Services that we would appreciate feedback on. If you have a moment, please tell us if there is anything we could have done better or if something was confusing.