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Video Capture of Classroom Lectures Form
Name of Instructor
Name of Person Requesting Capture
Email of Person Requesting Capture
Course Name and Prefix:
Example: CSD 3113. If capture is not connected to a course, please provide a detailed description of activity to be captured.
Reason for capture (Select all that apply)
Content for web-based course
Guest lecture - deleted & archived to DVD after 90 days
Continuing education
Faculty development
Planned faculty absence
Planned extended student leave - deleted 2 weeks after final date of semester
Inclement weather- deleted 2 weeks after final date of semester
Other (Requires prior approval, provide details in box below):
Capture #1
Date
Start Time
Stop Time
Capture #2
Date
Start Time
Stop Time
Capture #3
Date
Start Time
Stop Time
Capture #4
Date
Start Time
Stop Time
AHB Room #
Atrium
Mezzanine
1046
1047 (DE)
1117 (DE)
2038
2039
2045
2046
2049
2050 (DE)
2056
2058 (DE)
2059 (DE)
2060 (DE)
2065 (DE)
3025 (DE)
3028 (DE)
3129
3132
3154
3155
Office/Home
Zoom (provide details in box below)
Tulsa Room # (provide room in box below)
Other (provide details in box below)
Is this a guest lecture?
PLEASE NOTE: ISS must have signed releases for all guest lecturers and speakers to process your video.
Yes
No
Do you have signed video release? Need a copy of the release form?
Click here!
Yes
No
Do you have copyright release?
Yes
No
NA (my own materials)
Do you already have a copy of the video or copyright release forms? If so, upload here.
Drop files or click here to upload
Is this a one time capture?
Yes
No
Is this a weekly capture? All semester captures need prior approval; see item #3 above.
Monday
Tuesday
Wednesday
Thursday
Friday
Is this a special capture?
Yes
No
Additional Information:
PLEASE NOTE
Each video will require OUHSC authentication before viewing.
For each capture request, you will receive a confirmation. As the course instructor, you need to save that email until all the captures for that request are completed. If you have a change prior to completion of that capture request, we ask that you use that email to trigger a reply to the staff. We need the existing request corrected, NOT a new request. This will help keep track which course and class period are being altered.
THANK YOU!
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