University of Montevallo - Department of Communication

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PRODUCTION REQUEST FORM

To request Mass Communication's assistance please complete this form:

Date of Request: (minimum 3 weeks prior to event)

Name:

Department:

Contact E-mail:

Telephone:

Mobile:

Name of Event:

Date & Time of Event:

Location Event will occur:

Description of Services Requested (e.g., streaming video, scripted video production, speaker videotaping, etc.):

Budgeted Amount Available:

Budget Code:

Desired Date of Completion:

Is Coyprighted Material (e.g., visuals, music, texts, etc.) involved?: yes no

If so, do you have proper clearances and/or releases? yes no

Can this production be Webcast? yes no

Anticipated number of Mass Communication faculty required:

Anticipated number of Mass Communication student(s) required:

Anticipated facilty/equipment requirements:
(studio production, multi-camera location production, single camera location production,
basic camcorder "news style" production)

Principal Mass Communication Faculty:

Support Mass Communication Faculty:

NOTE: Making this request does not automatically ensure the work will be done. Analysis of facilities, equipment, personnel, budget, and fit with Mass Communication learning objectives must be completed before any production decision can be made, and two faculty members must support the request.