Please use this form when you wish to have an audio/visual presentation digitized for use within a Blackboard or another instructional system.  The request must comply with the Digitization Policy Agreement. Digitization Request Please provide the following piece of information * are required fields Information about me Name* Email Address* @umkc.edu Phone Number* School or College* Select the Appropriate School or College College of Arts and Sciences Conservatory of Music School of Biological Sciences School of Business and Public Administration School of Computing and Engineering School of Dentistry School of Education School of Law School of Medicine School of Nursing School of Pharmacy University Libraries Office of Provost - Centers and Institutes Staff Non-UMKC Other - Specify in the information section Department* Information about the request Course Delivery System (check all that apply)* Blackboard Learning System Other - Please specify - Course Site Name* Original Media* VHS (regular of SVHS) Mini DV  CD / DVD N Drive Desired Output (check all that apply)* Windows Media Real Media Deadline for Video Conversion* -- Please allow no less than 5 working days Length of Original Presentation  Hours:Minutes:Seconds If short segments are desired - number and length of those segments Characters Left Is there anything else Information Technologies staff members should know about this request? Characters Left

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