Streaming Media Ticket
Form to assist Faculty evaluate streaming media requests and connect them to the appropriate Librarian for assistance.
School Affiliation? *
Your Name *
Your answer
Preferred Email *
Your answer
Phone
Your answer
College Affiliation *
Which of the following accurately describes how you want to use this Film/Movie *
Film/Movie in Question *
Your answer
Date of Film/Movie In Question (if known)
Your answer
Director (if known)
Your answer
Production Company (if known)
Your answer
Other identifying information you think could be useful?
Your answer
How much of the Film/Movie do you want to use? (Such as a 5 minute clip or the entire Film?) Please explain below. *
Your answer
How do you want to use this Film/Movie? *
What is the nature of your use of this Film/Movie? (Check all boxes that apply.) *
Required
Have you searched the streaming media databases that the Library already has? *
Are you already using a version of the film and if so, from where? *
Your answer
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