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Home > LITS > Library Research & Collections > Find Multimedia > Video Request Form

Video Request Form

* Required fields

Your full name: *
Email address: *
(Please include @hostname, for example @mtholyoke.edu)
Department:
Course Number: (if applicable)
Phone Number: *
  • Films requested from other Five College libraries are usually received within a few days, depending upon the availability of materials.
  • Faculty: if you are requesting multiple videos to be shown in class, please request them in the order in which you will show them. 
  • Films may be picked up at the Circulation Desk on the request date (after 2 p.m. for 5 College videos).
  • If you have need assistance with film requests, please contact your LITS Liaison.
1.
Exact title of film or video
(Please note in Special Instructions below if foreign language film should include subtitles)
Call number & location
(For films held at MHC or in the 5 Colleges)
Distributor
(Where to purchase if not owned in the 5 Colleges)
  Would you like to have a screening of this film? No Yes 
       Do you need screening assistance? No Yes
       (Available 5 pm - 9pm)
      Room, Date/Time of Screening
      Contact Event Services for room reservations

E.g:Dwight 101, 11/21/09 @7:00pm
 Would you like this title streamed in ella? No Yes
     Date Needed

Special Instructions:
(For example, which language tracks or subtitles should be screened or streamed)


2.
Exact title of film or video
(Please note in Special Instructions below if foreign language film should include subtitles)
Call number & location
(For films held at MHC or in the 5 Colleges)
Distributor
(Where to purchase if not owned in the 5 Colleges)
  Would you like to have a screening of this film?
No Yes 
       Do you need screening assistance? No Yes
       (Available 5 pm - 9pm)
      Room, Date/Time of Screening
      Contact Event Services for room reservations

E.g:Dwight 101, 11/21/09 @7:00pm
 Would you like this title streamed in ella? No Yes
     Date Needed

Special Instructions:
(For example, which language tracks or subtitles should be screened or streamed)


3.
Exact title of film or video
(Please note in Special Instructions below if foreign language film should include subtitles)
Call number & location
(For films held at MHC or in the 5 Colleges)
Distributor
(Where to purchase if not owned in the 5 Colleges)
  Would you like to have a screening of this film?
No Yes 
       Do you need screening assistance? No Yes
       (Available 5 pm - 9pm)
      Room, Date/Time of Screening
      Contact Event Services for room reservations

E.g:Dwight 101, 11/21/09 @7:00pm
 Would you like this title streamed in ella? No Yes
     Date Needed

Special Instructions:
(For example, which language tracks or subtitles should be screened or streamed)


4.
Exact title of film or video
(Please note in Special Instructions below if foreign language film should include subtitles)
Call number & location
(For films held at MHC or in the 5 Colleges)
Distributor
(Where to purchase if not owned in the 5 Colleges)
  Would you like to have a screening of this film?
No Yes 
       Do you need screening assistance? No Yes
       (Available 5 pm - 9pm)
      Room, Date/Time of Screening
      Contact Event Services for room reservations

E.g:Dwight 101, 11/21/09 @7:00pm
 Would you like this title streamed in ella? No Yes
     Date Needed

Special Instructions:
(For example, which language tracks or subtitles should be screened or streamed)


5.
Exact title of film or video
(Please note in Special Instructions below if foreign language film should include subtitles)
Call number & location
(For films held at MHC or in the 5 Colleges)
Distributor
(Where to purchase if not owned in the 5 Colleges)
  Would you like to have a screening of this film?
No Yes 
       Do you need screening assistance? No Yes
       (Available 5 pm - 9pm)
      Room, Date/Time of Screening
      Contact Event Services for room reservations

E.g:Dwight 101, 11/21/09 @7:00pm
 Would you like this title streamed in ella? No Yes
     Date Needed

Special Instructions:
(For example, which language tracks or subtitles should be screened or streamed)

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This page maintained by Library, Information & Technology Services. Last modified on March 9, 2007.