Imagery of Regent people and campus

Media Project Request Form

To request production of a media project for your course, please complete the form below. If you have any questions about this form or the process, please contact CTL at 757.352.4128 or via e-mail at ctl@regent.edu.

Note: This form is for faculty only. This form is NOT for basic equipment set-up and other media services (projectors, audio taping, tape duplication, etc.). For those services, please visit Media Services.

Your Name

Department

Phone number

Email address

Type of media

If other, please explain

Course Catalog ID

Proposed completion date

If doing an elaborate video project (i.e., requiring off-campus shoots, professional actors, special props and/or wardrobe needs), do you have funds set aside to contribute to production?

Has this course previously been reviewed by CTL?

Describe the project as you see it.  For example: What is the purpose of the project?  What do you hope to accomplish with it?  How do you see this media enhancing the learning experience in this course?

Do you have some ideas on what types of media you would like to use on this project? (Examples: video, web, PowerPoint, animation, audio, still images, etc.)  Do any of these media exist now or do they need to be created specifically for the project?

In how many classes will the final product be seen, by approximately how many students, and for how many semesters?

Once your form has been processed, we will contact you to arrange a time to meet in person and discuss your project.