Mediasite Recording Permission and Disclosures
Presentation Title:
Synopsis (short description of presentation):
Presentation Date:
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Presentation Time:
Presentation Duration:
Presenter Demographic Information
Name (include degrees, etc):
Organization Name:
Position Title:
Office Address:
Website Address:
E-mail:
Allow viewers to contact me via email regarding the content of my presentation:
Yes
No
Day Phone:
FAX:
Presenter/Content Specialist:
Upload Photo:
Disclosures:
Presentation Requirements - Please indicate the item(s) you will be utilizing in your presentation.
Options:
PowerPoint/Slide Presentation
DVD
Smart Board
Digital Video
Audio File
Other Requirements:
Recording Permissions:
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I want my lecture and content delivered over the Internet as it is being presented (when possible) and stored for future viewing
I want my lecture content stored for future viewing but NOT streamed live
If you have collateral materials:
Have someone contact me regarding collateral materials or other needs
Objectives:
*
Post-test Questions (with answer key):
*
Submit
Should be Empty: