Film/Photo/Video Shoot Questionnaire

Questionnaire must be completed 10 business days prior to requested date of filming.
COMPLETION OF THIS QUESTIONNAIRE DOES NOT IMPLY OR GIVE APPROVALS FOR THE FILMING.

Today's Date:

Anticipated Shoot Date(s):

Company Signing Contract:

Company Federal ID Number:

Name of Contract Signatory:

Title of Contract Signatory:

example: Executive Producer

Address:

City:

State:

Zip Code:

Phone Number(s):

Email:

Facsimile:

Website:

Primary Contact

Name:

Phone:

Cell:

Email:

Alternate Contact

Name:

Phone:

Cell:

Email:

Synopsis of film/Shoot:

Please explain how your project accomplishes this:

ASU evaluates each film project for its "ability to provide educational or otherwise worthwhile experiences for ASU Students or to support the mission of the university."

Story Line (A full script may be requested):

Will the ASU Campus be recognizable in the final product?:

Will any ASU indicia be used?:

Purpose of the Film:

Will you indemnify ABOR/ASU? (Indemnification is mandatory):

Yes

Will you list ABOR/ASU as additional insured? (Insurance is mandatory):

Yes

How is the final product to be distributed?:

Potential Air or Release Date:

Shoot Location(s) Desired:

Shoot Schedule:

ex) Location: Date(s): Day(s): Time(s):

Numbers for each day of the shoot:

ex) Cameras: 2 Stationary:0 Hand Held: 2(Mini DV Cameras) Crew Members: 8 Staff: 0 Actors/Non-campus:3 Actors/Campus:0

Catering

Number of Meals each day:

Types of meals:

Is Caterer Certified and licensed in Maricopa County, City of Tempe?:

Caterer must also be approved for and obtain an ASU Food Permit. Caterer must pay a fee and provide Liability Insurance per Film Agreement/Permit requirements.

Numbers & Types of Vehicles

Please give numbers and weight.

RV(s):

Van(s):

Limo(s):

Truck(s):

Box truck(s):

Semi(s):

Pickup(s):

Parking

Please note that On Campus parking is limited.

On campus number of spaces required for which vehicles:

ex) 2 production vans. The limo intended to drive Frank Caliendo to sidewalk area on perimeter of Hayden Lawn.

Power Sources:

ex) Production Provided:N/A Type(s):N/A Site power requested:N/A Type(s):N/A

Will there be any use of pyrotechnics?:

Additional Items that will be necessary: Agreement/Permit, Agreement/Permit fees, Insurance, & ASU Public Events Site Coordinator. Additional Items that will be considered, and may be necessary: Police (DPS), Contract Security, Venue Coordinator, rate is per number of locations, and length of time on each site. Additional Expenses depend on site, days, times and location(s). Overages on top of flats and OT is by the hour.

/Film/Photo/Video Shoot Questionnaire

Communication Guide

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Questionnaire must be completed 10 business days prior to requested date of filming.
COMPLETION OF THIS QUESTIONNAIRE DOES NOT IMPLY OR GIVE APPROVALS FOR THE FILMING.

/Film/Photo/Video Shoot Questionnaire

Communication Guide

Search

Questionnaire must be completed 10 business days prior to requested date of filming.COMPLETION OF THIS QUESTIONNAIRE DOES NOT IMPLY OR GIVE APPROVALS FOR THE FILMING.

Questionnaire must be completed 10 business days prior to requested date of filming.
COMPLETION OF THIS QUESTIONNAIRE DOES NOT IMPLY OR GIVE APPROVALS FOR THE FILMING.