Media Request Form

The University Library System (ULS) is happy to acquire media items for faculty. Items purchased are intended for teaching, research, and other educational purposes for the Pitt community.

For other uses--such as training, film series, club and organizational activities, or other events--public performance rights (PPR) often must be acquired prior to the performance. The ULS does not purchase PPR.

For more information on acceptable use of media in teaching and public performance rights, please see the Copyright Information FAQ:
Can I Show Films in the Classroom?

 

Fields marked with an * are required. One item per form.

This is a request ...

Using Media Advisory Committee funds

Using Media Advisory Committe funds WITH matching funds from program or department

Using department funds

*Name:

*Email:

*Position:

*Department:

*Phone:

Fax:


*Title of Media Requested:

English Translation of Title (if applicable):

Distributor:

*Format of Media:

(If OTHER please specify:)

Price:

Is price estimated?

Yes

No

If using department funds, account number:

*If for Media Advisory Committee- Rationale for Acquisition (Please state why this purchase is needed and how it will be used. Teaching needs will be given priority.):

 

If you do not have distributor and/or pricing information please email Caroline Hopper (lola1@pitt.edu). Additional funds can come from another program or department.

If you are submitting multiple requests, simply use your browser's BACK button to return to this form after clicking Submit. All of the data you entered will be retained, so it will not be necessary to re-key your personal information. You will need to retype the author, title and other information to submit a new request. After submitting your final request, please be sure to click the Clear the Form button to clear your personal information.