Radio TV Film

• Have you received prior permission from the department that the space "belongs" to?*
  • Yes
  • No
• If you answered yes to the ABOVE question, please list the name and email of the person you spoke with. If you answered no, please get permission before finishing this form.
• Name*
  First Last
• Phone*
• Email*
• Student ID Number*
• Course Title or Student Organization*
• Advisor or Instructor Name*
  Select advisor or instructor nameAdam DillerBeth HubbardJustine Stokes
• Name of Project*
• Please list the name of the primary producer*
• Names and Student IDs of Project Producer and Director*
  Please list one name and ID number per row.
• Please list the names of any non-students in your cast and crew.
  Please list one name per row
• Please provide a one sentence logline of your project summarizing its essence.*
• Filming Content*
  Identify any action taking place during your campus location scenes that might be misconstrued by the public, such as fighting, yelling, brandishing weapons, etc. (Guns may not be used on any exterior campus location.)
• Requested Location(s)*
  Be as specific as possible. Access will not be granted to the following areas: rooftops, heating plant, Counseling Center, Health Services and Nursing Ed.
• Second Option(s) for Location*
• Space Modifications*
  Identify any changes or modifications you will be making to the space, including (but not limited to) moving of furniture, the addition of major props and furniture, etc.
• Requested Date(s)*
  Please be realistic. You cannot request a space for a full day or entire weekend.
• Requested Start and Finish Time(s)*
• Alternate Date(s) and Time(s)*
• Agreement*
  • I agree
  By checking this box, you acknowledge that you understand that you are responsible for any damage, breakage, loss or theft to any person or property while filming at this location. All campus spaces will be returned to the original setting that it was in at the time of your arrival.
• Approvals can take up to two weeks and may take longer in some cases.

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