The Evergreen State College
Film and Video Archives
Submission Form
Directions: Fill in the form with as much available information as is available. More information will result in better access and full credit to those who created the work.
Academic Program or Contract Title:
Faculty Sponsor/s:
Producer/s:
Director:
Production Crew:
(please provide credits,
i.e., film editor, sound
designer, animator,
photographer, etc.)
Talent:
Other:
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Production Crew and Talent:
Date Produced: Running Time:
Where Produced:
Format: Status:
(R-to-R, 3/4”, VHS, DV, Mini DV, DVD, etc) [O]riginal, [M]aster [C]opy
Quality*
*Excellent, Good, Fair, Poor
Artists’ Statement/Production Synopsis: (please include any segments titles, subtitles, short description of action, characters and (their performers) in parenthesis; running time and note changes in production crews where warranted).
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Tape contains very short video message from Summer Institute(?) teacher to her students, apologizing for missing class due to being pregnant with twins. |
Please attach additional pages as necessary