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Please fill in your contact info below:
First Name *
Last Name *
E-mail address *
Phone Number *
Do you currently have a student requiring an accommodation? *
This will be verified through Disability Services
Course Name and Number *
Recommended Due Date *
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DD
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YYYY
IMPORTANT!  PLEASE USE ONLY ONE VIDEO PER FIELD IN FORM BELOW!
Every recording you submit should be placed in its own entry box. You may enter up to 10 recordings per form; please submit a new form if you have more than 10 recordings at this time.

Provide both the name of recording and the URL. If recording is not online, provide information on how we can access the material.
ENTRY #1 *
ENTRY #2
ENTRY #3
ENTRY #4
ENTRY #5
ENTRY #6
ENTRY #7
ENTRY #8
ENTRY #9
ENTRY #10
COPYRIGHT VERIFICATION *
Person submitting form verifies permission to use clip submitted.  Enter name of author and status of permission.
Additional information 
For any questions or concerns please reach out to Janyxa Avalos at janyxaavalos@grcc.edu
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