Please complete this form to request our video production services. Requests should be submitted no later than 2 - 3 weeks prior to the production date. By completing this form, the requestor agrees to the copyright rules applicable to the production. If you experience any difficulty with the application form, please contact us.
Contact Name:
Department/Organization:
Phone number:
FAX number:
E-mail address (Required for proper delivery of email):
Mailing Address:
Requested Production Date:
Production Title (if known):
Production Location:
Event Time (if live event):
Purpose of Video: What do you want the video to achieve?
Budget Allocated (if known): $
Target Audience:
Please check any/all elements you would like to include in your program. *By including any of these elements, you are agreeing to obtain any necessary copyright clearance and Academic Technologies is not held accountable for infringement of the rules and regulations held to the University system.
Music/Audio file
Video/Film (Movie clips, etc.)
Logistics & Equipment Requirements Please check any/all equipment requirements for your production.
Number of Cameras needed. 1 2 3 Not Sure *Select "Not Sure" if you are unsure of your production requirements. We can suggest the appropriate amount needed based on the information provided by this request.
Teleprompter
Audio Support (ex: CD audio playback during an event dinner, etc.)
Total Program Length
Project Due Date
Royd Liu, Operations Coordinator Phone: (808) 956-2408 Fax: (808) 956-9966 Email: liu@hawaii.edu
