Film Showing and Copyright Permission Request Form

Film Showing and Copyright Permission Request Form
The function of this form is to help the college determine the primary purpose of your desired on-campus film showing as it relates to copyright law. Please complete the form in full no later than one week prior to your film showing date.
Your name: *

First Name Last Name
Email: *
example@example.com
Club, Department, or Organization sponsoring the film showing: *
Club advisor name (if applicable):

First Name Last Name
WHAT film do you plan on showing? *
WHERE will you obtain a copy of this film? AVOID personal/home streaming services like Netflix, Hulu, Amazon Prime Video, Disney+, etc. *
WHERE on campus do you plan to show the film? *
WHEN do you plan on showing the film?

Month Day Year
Date
Time

: Hour Minutes AM/PM Option
WHO are you inviting to attend this film showing? (Answers might be, e.g. all campus, students from a particular club or group, off-campus guests) *
About how many people do you expect will attend the film showing? *
WHY do you want to show this film on-campus? What is your intent and/or desired outcome of showing this film? Are specific professors and/or campus departments involved in this showing? If so, how? *
HOW do you plan on promoting or advertising this film showing?
Do you plan on charging admission for this film showing? *

Yes No
Will the organizers of the event be paid? *

Yes No
Should be Empty: