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.

Pregnant Susan

Academic Program or Contract Title:


Faculty Sponsor/s:







Production Crew:

(please provide credits,

i.e., film editor, sound

designer, animator,

photographer, etc.)



Production Crew and Talent:




<1 min


Date Produced:                                                                                  Running Time:



Where Produced:

¾” CAS




Format:                                                           Status:

(R-to-R, 3/4”, VHS, DV, Mini DV, DVD, etc)               [O]riginal, [M]aster [C]opy


Image:  E Audio: E

*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).

 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