Mediasite Request Form

To request a Mediasite recording or Live broadcast, please complete the form below.
The Ashland University Mediasite Catalog is located here: www.ashland.edu/mediasite

Your Information:

*First Name:	*Last Name:	*AU ID #:

*Phone/Ext.:	*AU Email:
	@ashland.edu
*Your Department:

I am requesting a:
Live Streaming Recording

*Location: (where being recorded)
Room:
Please Note: location may need to be changed if requesting a live stream

Event/Speaker Information:

*Event Day: (mm/dd/yyyy)	*Start Time:	*End Time:

Speaker's Name:	Presentation Name:

Technology Needed:
DVD VCR Computer Program(s) Document Camera Other: