Film Rental Request Form

The Heilbrun Music and Media Library can rent film titles or formats not available in the library's media collection in order to support officially listed courses at Emory. We can also assist with obtaining public performance licenses for course-related screenings.

Date requested: *

Date needed by: *

Typically, we need at least 4 weeks advance notice to book a film rental.

Instructor Name: *

Course Number: *

Course Name: *

Department Name: *

Film Title (full title is required): *

Film Release Date:

Filmmaker Name:

Film Distributor: *

Film Format (DVD, VHS, 35mm, 16mm): *

Contact Classroom Technologies to verify that the room you have scheduled for your film can accommodate the format you want to show. Contact the Film Studies Department for assistance before booking 35mm film prints.

Alternate Films & Distributors: *

We cannot guarantee the availability of a given title, format, or show date without receiving confirmation from the distributor. Please provide alternate film titles in a separate request form just in case your first choice is not available.

Department Smart Key: *

The Music and media Library will cover the first $100 of film rental and shipping fees. The remaining amount will be billed to the department or program sponsoring the film.

Department Account #: *

email: *

This is the address we will use to update you on your submission.

Expected attendance: *

Limited to students enrolled in the class? (Yes/No): *

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Film Rental Request Form