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Name:
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Email Address:
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Department:
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Phone:
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Billing Contact:
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Account to be billed (once project has been completed):
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Title of event or lecture:
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Event date:
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Event time:
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Location:
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Type of event:
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Lecture (single speaker at podium)
Lecture (multiple speakers at podium)
Seminar (multiple speakers on panel)
Conference (multiple panels, speakers)
Event / Performance
Other
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If other, please describe:
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How would you like us to record your event?
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1 camera
2 cameras
More than 2 cameras
Custom video project
Audio only
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Will house sound be used for amplifying the speaker(s)? (NOTE: CMIG does not offer this service.)
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Yes
No
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Should the Question and Answer period be recorded? (If so, the audience will need to be provided with a freestanding or wireless microphone).
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Yes
No
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Will the speaker(s) have slides or other presentation materials that should be edited into the final video?
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Yes
No
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If yes, please upload the file:
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Title of series (if applicable):
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Name of division(s), department(s), school(s), office(s) hosting event:
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Official description of event (this will be used for promotional materials, on web sites):
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Please provide the name and formal title of each speaker (including introductory speakers, moderators):
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If you have a program, agenda, schedule etc., please upload:
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If you know of any specific lighting and/or sound challenges with this recording, please detail them:
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Who is your intended audience? Please select all that apply.
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Students
Faculty / Scholars
Alumni
Staff
Government agencies
Industry
Prospective Students
Community
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How will the recording be distributed? Please select all formats that apply:
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Web video (QuickTime)
Web video (Windows Media)
Web video (RealPlayer)
Web video (Flash)
Audio (mp3 file)
Audio (wav file)
DVD
CD
Broadcast
Live Streaming (Webcast)
Live Streaming (Campus IPTV)
Tape only
Other
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If broadcast, what specs will the final recording need to meet? For example, countdown, leader, broadcast safe colors, etc?
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If the recording needs to be edited down to a specific run time, please list the length:
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What information should be included on the title screen(s)? For example, Title of event, sponsors, speaker names, their titles, etc.). Please be specific:
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If you have a preference for a background color and/or graphic for the opening, please briefly describe:
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Would you like a division / department / group logo used in the opening graphic?
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Yes
No
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If yes, please upload a high-resolution graphics file:
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Would you like the URL for your website included periodically throughout the video (e.g., For more information, visit http://cmig.uchicago.edu ).?
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Yes
No
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If yes, please enter the exact text and URL:
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Should any additional information be included on the end screens (e.g., special credits, thanks, URL, etc.)? NOTE: the final screen will always include the standard University of Chicago copyright notice with year.
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Yes
No
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If yes, please enter the text and URL:
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Do you have permission to record this speaker? We recommend the permission form created by the Office of Legal Counsel (http://cmig.uchicago.edu/permission.pdf).
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Yes
No
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Would you like a copy of this recording archived in the library Special Collections (additional fee)?
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Yes
No
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Would you like to distribute your content through our network? If so, select from the following list:
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Mind Online (http://mindonline.uchicago.edu) Reach: 130,000. Distribution: online.
Chicago Public Radio Amplified (http://www.wbez.org/programs/amplified/amplified.asp) Visits: 4.5 million/year. Distribution: online; broadcast radio in Chicago.
ResearchChannel (http://www.researchchannel.org) Circulation: 1,041,000. Distribution: online; satellite television.
University Channel (http://uc.princeton.edu/) Circulation: 3,000,000. Distribution: online, public access television nationally.
CAN TV (http://www.cantv.org), Circulation: 1,000,000. Distribution: public access television in Chicago.
iTunesU
University of Chicago IPTV network (on-campus only)
TheUofChicago YouTube page
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