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Request Form: Streaming Media for UW Seattle Courses

Use this form to request that the UW Libraries research and possibly purchase streaming video options for your UW Seattle course. Please read our streaming video policy before submitting.

Instructor name:

Course name and number as it appears in the UW Time Schedule: UW Seattle Time Schedule

Course SLN number(s) as it appears in the UW Time Schedule: UW Seattle Time Schedule

Phone number:

E-Mail Address:

Quarter(s) wanted on reserve:

Autumn

Winter

Spring

Summer

Other

If Other - specify dates:

I am requesting streaming rights for these items be purchased for required viewing by my class Please provide as much of the following as possible:
Title, Distributor, Year, Link to Video, Distributor Contact Information

Needed by Please allow at least 2 weeks to acquire a title

Year / Month / Day

Do you plan to use these items again for a class in the next 3 years?

Yes

Not Sure