Video Broadcast Request

For Manhattanville Faculty Use Only

Use this form to schedule a video or DVD broadcast.

You must submit your request at least 48 hours prior to the broadcast.

Submit a separate form for each Videocassette or DVD title.

Video Information

Title
 

Edition or version
 

Running Time (in minutes)
 


If the professor owns this title,
please hand it to the Library Circulation Desk
at least 1 hour before broadcast time.

If the title is from the Library's collection,
please enter the call number below

List the date(s) and time(s) of the broadcast.
You may schedule up to four broadcasts of this video.

First broadcast
   at  

Second broadcast
   at  

Third broadcast
   at  

Fourth broadcast
   at  

 

Course Information

Course Number and Department OR Event Title
 

Course Professor OR Event Supervisor
 

Requested by

First name
 

Last name
 

Department
 

Email
 

Phone                              Extension
 

Special Instructions or Comments