CornellCast Event Recording Request Form Return completed form via email to Tara Walworth (trw43), 5-2296. Please Note: 1) We cannot guarantee a video crew will be available for your event. 2) A video crew scheduled to record your event may be pulled last minute due to circumstances beyond our control. 3) You must obtain verbal permission from the speaker(s) to have the event recorded/posted on CornellCast BEFORE the day of the event. 4) We do NOT provide room amplification; our microphones are for video sound only. Contact Name/Email/Phone Info: College: Department: Video/Event Title: Event Moderator: Event Speaker(s): For audio (microphone) purposes all speakers must be listed, including moderators/introducer. Event Date: Event Time: Event Duration: Time Event Open to Public: How long after event is room available: Please Note: The video crew will need time to dismantle their equipment. Event Location (including building/room number): Event Location Contact Information: (room scheduler, crew may have questions about room setup) Time location/room is available for crew setup: Please Note: The video crew will need access to the location prior to the start of event: 30 minutes for a lecture and one hour for a panel AND 30 minutes after the event to break-down the equipment. It is your responsibility to inquire about room availability and reserve extra time. Day of Event Contact Info: Use of slides/PowerPoint, etc? (If yes, the lecturer will need to be lit separately. The video crew will bring lights for that purpose. Please inform the lecturer) Question/Answer Session? Description: Note: A description is REQUIRED for posting on CornellCast. Please provide a description to accompany your video/audio. Length varies depending on the nature of the video. See the following examples: lecture - http://www.cornell.edu/video/details.cfm?vidID=269 panel discussion - http://www.cornell.edu/video/details.cfm?vidID=394 feature - http://www.cornell.edu/video/details.cfm?vidID=404 [insert description here] Related links (if any): These will appear on the video page, beneath the description. Ex: Office of the Provost: http://www.cornell.edu/provost/ [insert links here] Scheduling Considerations: Are there any upcoming events or publications that should be considered when scheduling the video release (aka posting date)? If so, please provide details and dates. [insert scheduling considerations here] ------------------------------------------------------------------- --------- Please indicate which Tag(s) apply --------_____ ACR - Accreditation _____ NSF - National Science Foundation-related stories _____ DIV - diversity _____ INTL - international _____ OUT - outreach _____ SOC - social sciences _____ SUST - sustainability _____ WKL - worklife _____ FAC - faculty awards and recognitions _____ LAND - land grant _____ PREZ - president's site _____ ICAM - intercampus _____ NYC - New York City stories _____ Humanities _____ Arts Notes (if any): ------------------------------------------------------------------------- Complete for Freelance Submission only --------If you are submitting a freelance video for posting on CornellCast, please provide the following information about your video. Permissions/Releases: All events posted on CornellCast must have a record of permission. Please submit an email from each participant (or as a group) granting permission for the video to be posted on CornellCast OR we can provide you with a CornellCast Release form for participants' signatures. Submission Date: Freelance Videographer Contact Info: Delivery method: ____ Original media delivered to Tara Walworth, 353 Pine Tree Road. Please contact Glen Palmer (grp2) if you have any video format questions. ____ File(s) sent via Dropbox (https://dropbox.cornell.edu/) to cornellcast@cornell.edu ---------------------------------------------------------------------