JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CCTV Event Coverage Request Form
Please fill out this form with as much information as possible. CCTV asks that all requests are made at least two weeks in advance when possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Section 1: Contact Information
Requester Name
*
Your answer
Organization (if applicable)
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Section 2: Type of Request
Type of Request (check one)
*
Use of CCTV Space for Event
Request for CCTV to Cover an External Event
Required
Section 3: Event Details
Event Title:
*
Your answer
Event Description (purpose/objective):
*
Your answer
Target Audience:
*
Your answer
Expected Attendance:
*
Your answer
Open to Public? (Yes/No)
*
Yes
No
Admission Fee?
(Yes/No)
*
Yes
No
Required
If yes, how much?
Your answer
Section 4: Date & Time
Preferred Date(s):
*
Your answer
Event Start & End Time:
*
Your answer
Set-Up/Breakdown Time Needed:
*
Your answer
Section 5: Location
If CCTV Space: Which space(s) are you requesting? (check all that apply)
Studio
Control Room
Editing Bays
Audio Booth
Lobby
Cafe/Common Area
Other:
If External Location:
Please provide full address, venue name, and any special access instructions:
Your answer
Section 6: Equipment Needs
Cameras (type/quantity):
Your answer
Audio (mics, mixers, headsets, etc.):
Your answer
Lighting:
Your answer
Projection/Monitors/Screens:
Your answer
Computers/Streaming Equipment:
Your answer
Other Technical Needs:
Your answer
Section 7: Staffing & Support
Do you need CCTV staff support for:
Technical operation (audio, video, lighting)
On-site production crew (for external coverage)
Event management/logistics
Training/rehearsal time
Please describe the support you are requesting:
Your answer
Section 8: Distribution & Promotion
How will you promote this event? (social media, flyers, press release, etc.):
*
Your answer
Do you want CCTV to help publicize?
*
Yes
No
If Yes, check where:
CCTV Social Media
CCTV Website/Community Calendar
Other:
For coverage requests:
Where should the recording/stream air or be posted?
CCTV Channel
CCTV YouTube/Online Platforms
Provide File Only
Other:
Section 9: Additional Information
Accessibility needs (ADA, interpretation, etc.):
Your answer
Are food or beverages being served?
*
Yes
No
Special considerations (security, permits, insurance, etc.):
Your answer
Any additional notes:
Your answer
Section 10: Acknowledgment
I understand this form is a request, not a guarantee. CCTV staff will review and confirm availability, requirements, and costs (if applicable).
Signature / Date:
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Cambridge Community Television.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
