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EPS*tv Video Request
Requests must be submitted AT LEAST two weeks prior to event.
Email address
Your Name
Your answer
Submission Date
MM
/
DD
/
YYYY
Your School/Department
Your answer
Date of Event
MM
/
DD
/
YYYY
Time of Event
Time
:
Duration
estimation is acceptable
Hrs
:
Min
:
Sec
Description of Event
provide as much information as possible
Your answer
Who is performing/speaking at the event
Examples: 5th grade choir, Taft Orchestra...
Your answer
Event Location
Examples: (Glenwood, Gym) (Longfellow, Auditorium) (High School, Classroom 115)
Your answer
Special Notes or Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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