Welcome to the I&IT Learning Site

Request Form Digital Conversion

This form serves the following purpose:

Students: Please do not use this form. Instead, request assistance by emailing studio6@csupomona.edu or by calling (909) 869-3099.

First Name

Last Name

Faculty/Staff

Faculty Staff

E-mail

Telephone

Department

Project Title

If this is for a course, please supply the following: Quarter

Course (e.g. 33146)

Media Information

Media title
Author
How will the completed media be used?
Brief description of content (What will viewers learn?)
Would you like your media to be available in streaming video format?	Yes No
Will any copies be sold or given away?	Yes No
Is the material copyrighted?	Yes No
Is this funded by a grant?	Yes No
Desired completion date

Comments/ Additional Info

Please type in any additional comments and information below

NOTE: You will receive an email within five working days informing you of the status of your request.

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Last modified: 2008-05-23