Media Request Form

Media Reqest Form: Event Video Recording

Personal Information

Your Name:

Your Affiliation w/GCC

Faculty Student Staff Other

Phone:

Email Address:

Department or Student Organization / Club

Department Chair or Club Advisor

Details of Request

Campus: Main North

Taping Date:
Must use mm/dd/yyyy format (ex. 02/14/2008)

Retain Tape Until
Must use mm/dd/yyyy format (ex. 02/14/2008)

Tape From:
Must use am/pm (ex. 3:00 pm)

Tape To:
Must use am/pm (ex. 4:00 pm)

Location (bldg. and room OR exact campus location)

Type of Taping: Guest Student Other

Any comments or additional information

A media technician will contact you regarding your request.

Please complete the information below to request video recording. If you have questions, contact the Media Department, 623.845.3119.

Employees are prohibited from copying materials not specifically allowed by the 1) copyright laws, 2) fair use guidelines, 3) licenses or contractual agreements, or 4) other permission.


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John F. Prince Library - Glendale Community College - 6000 West Olive Avenue - Glendale, Arizona 85302 - 623.845.3109
Library & Computer Center - Glendale Community College North - 5727 W. Happy Valley Rd - Glendale, AZ 85310 - 623.845.4109
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Modified: Modified: April 18, 2009