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    DCM Event Request Form RE (1)

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    nandini061979

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DCM Event Request Form RE (1)

    Uploaded by

    nandini061979
    1 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views1 page

    DCM Event Request Form RE (1)

    Uploaded by

    nandini061979

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    DCM Event Capture Request Form

    Name of Event: ______________________________________________________________


    Date of Event: _______________________ Day of Week: __________________________
    Location/Venue: _____________________________________________________________
    Start Time: __________________________ End Time: ____________________________
    Access to venue (for setup): ____________ Expected size of audience: ______________

    Event Details:
    Single presenter? ______ If so, whom? _____________________________________
    Multiple presenters or panel discussion? _______ If so, how many? _______________
    What is the format? ______________ (i.e. lecture, panel discussion, roundtable, etc.)
    Introduction of presenter(s): Yes ___ No ___ If yes, whom? ____________________
    Use of PowerPoint or other electronic media in presentation? Yes ______ No _______
    Use of physical “props”? Yes ____ No _____ If yes, what? ______________________
    Question and Answer (Q&A) following? Yes ____ No ____
    How important is it to see the person asking the question(s)? _____________________
    Record event/presentation? Yes _____ No _____ Distribution:
    DVD: ___ Blu-ray: ____ Videotape: ___ File: ___ Tape/file format: ______________
    Indicate quantity of DVDs, Blu-ray or videotapes and specify tape or file formats above (if known).
    Post archive on a web site ? Yes ___ No ___ If yes, Webmaster: ___________________
    URL where event will be posted: ___________________________________________
    Is there a need for live web streaming? Yes ___ No ____ If yes, details:
    URL where live stream will be viewed: _______________________________________
    Streaming provider? _____________________ Phone/e-mail: ___________________
    [DCM use only: Streaming server: ____________ Notes: _______________________]
    If an event is streamed live, the URL for the live stream and archived stream should be the same whenever possible
    Contact DCM for additional information.
    Televise live? Yes __ No ✔ ✔ (Contact DCM for add’l information)
    __ Tape delay? Yes _ No ___
    Do you have a release from the presenter(s) allowing recording and future use of the recorded
    ✔ No ____ (if yes, please attach a copy.)
    material? Yes ___
    Any use restrictions? Full use: ____ Educational use only: __ Time limitation: _____
    For non-K-State faculty or staff, a signed written release is required prior to recording and distribution.

    Contact Information:
    Client contact prior to event: ___________________ Phone: ______ E-Mail: _____________
    Client contact at event:________________________ Phone: ______ E-Mail: _____________
    DCM production contact: ______________________
    Robert Nelson Phone: ______ E-Mail: rfnelson@k-state.edu
    2-3141 _____________
    DCM client manager: _________________________ Phone: ______ E-Mail: _____________
    Please ensure any last minute changes are communicated to the DCM by phone or in person. No voicemail or e-mail for last
    minute (within one working day) changes, cancellations, etc. Please call front desk number (2-2535) if you cannot reach the
    DCM contacts listed above.

    DCM Event Request Form Rev. 3 10/4/2013 Page 1 of 1


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