I. EVENT INFORMATION
Host Department/Organization:
Main Contact for Event:
Campus Box: Email:
Anticipated Attendance:
Proposed Location: Alternative Location
Is Your Event Open to the Campus Community? Yes
No
Day & Date of Event:
II. FILM INFORMATION
Film Title:
Film Origin:
Feature Film Documentary Student Produced Film Online Streaming Services
Other Please follow instructions below
II. ACQUISITON AND VIEWING INFORMATION
How did you obtain a copy of the film(s)? (check all that apply)
Film Distribution Company Please Name: __________________________________________________
The College of Wooster Libraries
Student Activities Office
Other Source Please Name: __________________________________________________
Status of Permission:
Permission to show film(s) has been received. (Please attach a copy of the PO, contract or letter granting copyright permission.)
We're in the process of securing rights. (Your reservation can only be tentatively held until you submit proof of copyright permission).
Copyright permissions do not apply to this film. Please explain why in the box below.
PUBLIC FILM VIEWING REQUEST FOR STUDENT ORGANIZATIONS
The request for public film viewing for campus events must be sent to the Assistant Director of Student Activites, at least three weeks in advance. All film
showings, regardless of format, require copyright permission in the form of a license or certified permission from the copyright holder. Owning a physical or digital
copy of a film or haveing access to a streaming site only legally allows for private viewing of said film. The Student Activities Office and
the Libraries need at least three weeks notice in order to assist with finding the appropriate vendor and obtaining the corresponding licenses.
Please follow the procedure below to reserve public film viewings for campus events:
• Pick up “Public Film Viewing Request" form from the Campus Life office or online at https://www.wooster.edu/_media/files/offices/facilities/public-viewing-
form.pdf.
• Complete the form, and have it reviewed and signed by the Assistant Director of Student Activities and/or the Head of Collection Management and Discovery
Services.
• After you have received copyright clearance, submit a Connect Daily reservation online at https://connectdaily.wooster.edu/EditItem.html and wait for your event to
be
approved. Approval will only after your copyright permission has been received.
Paper work must be completed and signed off by the appropriate individuals prior to returning the confirmation of your event. An incomplete form will delay
confirmation.
NOTE: All room reservations are considered tentative until paper work is completed, signed and returned to the Campus Life Office. Groups are NOT authorized
to advertise the film in the WHN, the Voice, the POT, on posters, or via any other methods until copyright permission has been obtained.
If you selected "other", then please describe the type of film below.
Do you plan to do anything else in addition to showing the film (i.e. group discussion, faculty talk, etc.)? If so, then please describe activities below.
