Video Request Form

These factors will be used to determine video priorities for the next year. Please allow up to 2 weeks for your project’s approval and a plan for the next steps, which may include a performance review of any previously produced content, an outlining session, and/or a scriptwriting consultation.

Project Lead Name

First Last

Project Lead Email

Department

Working Project Title

Are you planning on using an outside contractor?(Required)

Yes

Please list preferred dates for video and production:

Please list your preferred filming location:

Is a Spanish translation needed?

Yes

Which category best suits your project?

Project description (please include length, content, and purpose, who is the primary audience, will it be used for a training, sent to programs, used for socials, objectives, etc):

When is the completed project needed by:

Khorus Goal Hierarchy (which of your Khorus goals does this requested video fall under?):

Project Budget Amount:

Project Budget Grant Source:

Anticipated Number of Views:

Anticipated Video Lifetime:

Evergreen

Will need future updates

One-time use

Please attach basic outline or script if completed.

Max. file size: 50 MB.

This field is for validation purposes and should be left unchanged.