Video Design Request

Fields marked * are required

Today's Date *

Date FIRST draft is due. *

Date FINAL video is needed *

Is this for a specific location? (check all that apply) *

HCC main campus

Technical Center

Perry Center

Western Center

Wamego Center

Online

None

Your Name *

First Name *

Last Name *

Your email *

Phone Number/Extension *

Main Contact - Who will be the contact if any questions arise from the Marketing/Video Department? This does not need to be the same person filling out the form. *

Who finalizes the project? If more than one person, please list all persons with contact information *

Content Details for Project: Please be as detailed as possible with specific verbiage. Provide specific details such as dates, rates, classes, etc. Think of the 5 W's: Who, What, When, Where, and Why. *

Project Inspiration: What do you envision this video being like? Have you seen something you liked? Tell us about it below. Feel free to send us pictures, videos, or inspiration.

Please fill out the form in its entirety or the project may not be fulfilled. Please forward any additional information to tholte@highlandcc.edu

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606 W Main
 Highland, KS 66035
 785.442.6000 (P)
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Request Info

Video Design Request

Your Name *

Please fill out the form in its entirety or the project may not be fulfilled. Please forward any additional information to tholte@highlandcc.edu

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