Media Screening Request | University Libraries, George Mason University

This form allows faculty members to request media items be placed on hold for pick up the day of a classroom screening or listening.

Policies:

Screening requests are for classroom use only.
Screening requests must be submitted 48 hours in advance.
Only faculty members are allowed to request and pick up media items for classroom screenings. If a faculty member wishes to authorize a proxy to pick up media items on their behalf, such as a staff member or TA, they must complete a Faculty Proxy Authorization Form.
All requested media items must be part of the Mason collections. To see if an item is part of the Mason collections, please conduct a search on the library homepage.
The library does not host large group screenings or listening. Rooms for class screenings can be arranged through the Office of Events Management.
Faculty are responsible for following University policies, meeting the accessibility needs of their students, and abiding by copyright law in their classroom. For help with these issues, contact the Assistive Technology Initiative and/or email LeigAnn Skeen, Media Specialist for Multimedia Literacy (lskeen@gmu.edu).

Instructions:

Submit classroom media screening requests at least 48 hours in advance.
If you need to submit a media screening request for more than one date, list each time and date you need the item in the time and date field.
If you need to submit a media screening request for more than 15 separate titles, you will need to submit the form more than one time.
Pick up your media item the day of the screening/listening at the Fenwick Library Information Desk.

Is this media item for classroom use? *

Yes

"Classroom use" describes uses in which all attendees of a screening will be participants in an official Mason-offered course. It does not include club or student events.

LAST name *

FIRST name *

Your email address *

Are you a TA or adjunct instructor? *

Yes

If you are a TA or adjunct instructor, you may have a shorter loan period for reserve items than faculty members. To avoid escalated fines during or immediately after the screening, you will need to bring your contract to the library, so that a note can be added to your account which will instruct circulation staff to check out media you have requested for media screenings for up to 24 hours. This note will be valid for one semester.

Will you be picking up the media item? *

Yes

No. I have filled out a Faculty Proxy Authorization form, and an authorized proxy will be picking up the film on my behalf.

Only faculty members are allowed to request and pick up media items for classroom screenings. If a faculty member wishes to authorize a proxy to pick up media items on their behalf, such as a staff member or TA, they must complete a Faculty Proxy Authorization Form.

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (2nd) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (3rd) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (4th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (5th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (6th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

The format of the media item

The media item you are requesting to screen should be part of the Mason collections. If you need a media item that is not part of the Mason collections, you my suggest a purchase or borrow the item through the WRLC catalog.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (7th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

The format of the media item

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (8th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (9th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

The format of the media item

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (10th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (11th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

The format of the media item

The media item you are requesting to screen should be part of the Mason collections. If you need a media item that is not part of the Mason collections, you my suggest a purchase at http://library.gmu.edu/suggest or borrow the item through the WRLC catalog at http://catalog.wrlc.org/search/index.php. What medium is the copy currently help by the Mason Libraries?

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (12th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (13th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (14th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 48 hours in advance.

Do you have additional media screenings you would like to schedule? (15th) *

Yes

The title of the media item *

Provide the full title of the media item you wish to screen in your class.

The call number of the media item *

You may locate the call number for the media item by looking up the item in the search bar on the library homepage.

Date and time you need the item *

You must submit your request at least 24 hours in advance.

(If you're a human, don't change the following field)

Enter your name

Your first name.

(If you're a human, don't change the following field)

Enter your name

Your first name.

Leave this field blank

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