All requests are reviewed on a weekly basis, so please allow ample time for submitting your request.

All fields are required.

This form serves the following purpose:

• Video production (location and in-studio)
• Instructional design services
• Classroom studio tapings
• Multimedia production
• In-office training for faculty

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

General Request Form

Contact Person Information

First Name
Last Name
Faculty/Staff	Faculty    Staff
Email
Telephone
Department/Organization

Project/Course Information

Project/Course Name
Purpose/Objective
Target Audience
Requested Production/Completion Date

Agreement of Conditions

By checking the "I Agree" box, you agree that you acknowledge all accessibility & copyright guidelines as well as any fees that may be assessed by I&IT Learning (if project is not instruction-related and/or funded by a grant. You also acknowledge that requests are reviewed on a weekly basis (up to five working days).

I agree.