| Applicant Name: (please print) | Campus ID: |
| Telephone: | Email: |
| Date & Time Requested: | |
| Names & Campus IDs of others who will work on this project: (please attach) | |
| Course Name: | Course Number: |
| Instructor Name: | Instructor Email: |
| Description of the project, including areas of the building you want to use and why: (please attach additional information as needed)
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Regulations governing use of the library for video/film production:
On behalf of the cast and crew I attest to the accuracy of the information provided above, agree to the regulations governing the use of the library for video/film production, and accept financial responsibility for any damage/loss incurred as a result of my project.
Signed ______________________________________________________________ Date __________________________
Completed forms should be brought to the supervisor in charge at the Circulation Desk on first floor.
Allow 7 days minimum prior to the project date for approval.
Approved _________ Denied _________ Comment ______________________________________________________________________