Streaming Media Form

Dept./School *

School of Applied Technologies and Technical Specialties

School of Arts, Communications & Media

School of Business

School of Health Sciences

School of Humanities & Social Sciences

School of Science, Mathematics, & Engineering

Other Department

Dept./School Other Department

Name: *

Preferred Contact Info *

Requesting for self or other *

Self

If other, who

Requesting for self or other If other, who

Course number *

Title of film: *

URL for film (if available):

Unsure? Check IMDB to find your film.

Year released:

Director and/or studio:

Amount of film needed: *

Entire film

Clips or excerpts (please provide info on the portion(s) needed in the additional info field.)

Purpose/Audience: (Why are you asking me this?) *

Used in a class for extra credit or as an additional resource--not tied to a required assignment.

Used in a class as the required viewing for an assignment.

Public Performance

This request is to preview the film to determine if I want to add it to my course. (Please enter preview dates below.)

Purpose/Audience: (Why are you asking me this?) This request is to preview the film to determine if I want to add it to my course. (Please enter preview dates below.)

Required/Optional *

Required

Optional

Date students need access:(Why can't a ripped film be available for an entire semester?) *

This semester.

Future semester.

Unknown/preview request.

Start Date: *

Month

Day

Year

End date: *

Month

Day

Year

Repeated use: *

I would like to use this film across multiple semesters.

I'm using the film in a DEV course and/or this is the first time I'm using the film.

I would just like to use it once.

Additional Info.:

Libraries

Streaming Media Form

Jordan Campus

Miller Campus

Taylorsville Redwood Campus

South City Campus

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Streaming Media Form

Jordan Campus

Miller Campus

Taylorsville Redwood Campus

South City Campus