Filming Request Form Student Name(Required) Student's Phone No.(Required)Student's Email(Required) Course No.(Required) Professor's Name(Required) Project Title(Required) Filming Date (Begin):(Required) MM slash DD slash YYYY Filming Date (End):(Required) MM slash DD slash YYYY Project Description(Required)Film Location(s)(Required)Location Release Needed:(Required) Yes No If Yes, you will be required to submit the signed Location Release to your professor and attach the signed Location Release to your Certificate of Insurance request. Certificate of Insurance Needed:(Required) Yes No If Yes, go to the Certificate of Insurance Request page and remember to attach the signed Location Release form to your request.Filming Equipment:(Required) University Owned Rented Personal Equipment N/A Equipment Description (If Universtiy Owned or Rented):Filming Details: Will any of the following be used in the making of the project? Students Staff/Facility Minors Watercraft/Aircraft Off-Road Vehicles Farm/Construction Machinery Open Fires Fireworks Smoking, Pyrotechnics Animals Fake / Imitation Weapons Are any members of the cast/crew from outside the University community and non-family members?(Required) Yes No University community means students, faculty, and staff. Non-family members mean not related to you.EmailThis field is for validation purposes and should be left unchanged. Δ
