Resident Film Photograph Request Form Page 2

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STUDENT FILM/PHOTOGRAPHY REQUEST FORM
Film/Photograph Date and Time: ____ / ____ / ____, ____:__ AM/PM
Resident’s Name:
Email:
Telephone:
School:
Residence:
Room:
Course Title:
Faculty Name:
Faculty Phone
Faculty Email:
Number:
Description of Filming/Photographs:
Desired Filming/Photographing Location:
People Appearing in Film/Photographs:
List all Crewmembers:
Equipment Used:
Describe course requirements:
Signature of Requester:
Date:
Approved By:
Date:
Student Life
212-977-7622 x 5006
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