Streaming Video Request Form
This form should be filled out  by Clark College staff and faculty members requesting one of the following:
1. streaming video purchase for college-wide access
2. streaming rights purchase for a digitization of a film owned by Clark College Libraries in DVD format
NOTE: Please make only one request per form. DO NOT use this form for more than one request.
If you need assistance with filling out this form, please contact Librarian Zachary Grant: zgrant@clark.edu.
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Instructor's Name *
 Instructor's email address and phone number *
Department *
Information about the film or video to help us locate it: Title of film or video, year of release, distributor/publisher, who directed it?  Please include a link to the video or film if you have it. *
Streaming Rights Owner/Distributor of Streaming Video Format (if known). Name of streaming vendor, for example: Kanopy
Include URL if available
Does the Library own this film in DVD format? *
During which academic term do you need access to this streaming video? Is this a one time only request, or do you plan to use this video for multiple terms over?
Note that NEW streaming video platforms also require new licensing agreements to be signed and reviewed by Clark College Risk Management Department.  The negotiation of acceptable terms may take 2-3 months as well as meet the criteria for Clark's accessibility requirements.
NOTES
Provide any other pertinent information about this request.  Select all that apply below and/or add more comments under "Other"
Do you plan to use this video for any purpose beyond classroom use?
Will/could other faculty use it?
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