GNAT-TV EVENT COVERAGE REQUEST FORM
Please fill out the following information as completely as possible and submit at least two weeks prior to the event.
There are three ways that GNAT-TV can assist you in covering your event. (Please choose one of the following options.)
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1. You provide the volunteer, GNAT-TV provides equipment and training (Call 802-362-7070 or email production@gnat-tv.org to schedule training; fees may apply).
2. GNAT-TV staff producers/editors are available for a fee. The GNAT-TV production team will send you an estimate after completion of this event request form.
3. GNAT-TV may provide coverage based on certain criteria found here gnat-tv.org/event-request-form
Name of Event
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Event Date / Start Time
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Event Date End Time (May Be Approximate)
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Name of Speaker/s
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Event Location
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Please be specific and add directions if it is difficult to find.
Purpose of Event Coverage:
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For broadcast on GNAT-TV cable channels and website
For organizational, private, or commercial use (e.g. website, sales or training, promotional)
To capture the moment / record of the event for casual use
Requested Services:
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Filming Only
Filming and Editing
Filming, Editing, Distrubution
Do you intend to sell this video content?
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Yes
No
Is the Event Free and Open to the Public?
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Yes
No
Broadcast Requirements
GNAT-TV requires that the host / sponsor get permission from the speakers/presenters appearing on camera prior to the event.
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Yes, I have received permission.
A Cablecast Request Form must be completed by the host / sponsor acknowledging responsibility for the content of the program. (Applicable if the program is for cablecast and online distribution)
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I understand
Organization Contact Details:
Event and Organization Contact Information.
Organization Name
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Organization Address
Please Indicate Type of Organization:
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Please Select
501c3 Not for Profit Corporation
501c6 Not for Profit Corporation
Government Entity
For Profit / Private Business
Other
None
Event / Organization Contact Name
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First Name
Last Name
E-mail
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Contact Phone
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Venue Details:
Venue Contact Name
First Name
Last Name
Venue Contact Phone
Include ext.
Venue Contact E-mail:
Event Details:
Please take a moment to fill out the following info so that we may provide the proper production equipment and staff. Thank you.
FORMAT OF EVENT:
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One person speaks
Multiple speakers, one at a time
Panel Discussion
Round Table
Audience Participation
Will the Film Crew Have Access to Power?
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Yes
No
Will the Film Crew Need to Provide Additional LIghting?
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Yes
No
Not Sure
Will you be using a sound system at the venue site?
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Yes
No
Not Sure
Will the presenter(s) be using Power Point presenations or other types of slides?
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Yes
No
How many slides?
How many people do you expect to attend the event?
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Please Select
Less than 5
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More than 50
Who is Your Target Audience?
If GNAT-TV provides production services, will GNAT be publicly recognized as a Media Partner in your promotional materials and/or at the event?
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Yes
No
If GNAT-TV is unable to film your event, are you or someone from your organization interested in receiving videography training?
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Yes
No
Submit
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