Instructional Media Captioning Request

Name - required:

Dept. - required:

Phone - optional:

Email - required:

Semester - required: Please select Fall Spring Summer (R1) Summer (R2) Summer (R3)

Course Subj+Number/Event - required:

Physical Media 1

Title - required:

Show Date - required:

Source - required: Please select Personal Copy Department Copy AT Catalog

AT Catalog# - if applicable:

Physical Media 2

Title - required:

Show Date - required:

Source - required: Please select Personal Copy Department Copy AT Catalog

AT Catalog# - if applicable:

Physical Media 3

Title - required:

Show Date - required:

Source - required: Please select Personal Copy Department Copy AT Catalog

AT Catalog# - if applicable:

Physical Media Comments

Additional Information:

(Instructions for accessing materials, tentative show date information, etc.)

Examples: YouTube, iLearn, DIVA, etc.

Streaming Media 1

Title - required:

Show Date - required:

URL - required:

Streaming Media 2

Title - required:

Show Date - required:

URL - required:

Streaming Media 3

Title - required:

Show Date - required:

URL - required:

Streaming Media Comments

Additional Information:

(Instructions for accessing materials, tentative show date information, etc.)

If your course is being delivered over the Internet, please specify which platform is being used.

Blackboard Collaborate CourseStream Other

By submitting this Instructional Media Captioning Request, I understand that I am responsible for notifying captions@sfsu.edu immediately if there is a change in the media viewing schedule.