Date video is needed:
Date of event/when video will be used:
Contact Person:
Name of Event/Initiative:
Organization:
Phone:
Email:
Address
City:
State:
Zip Code:
Anticipated Number of Participants/Reach:
Requested Length of Video:
Location where video will be posted (website/social media):
Brief description of request and how video will be used:
Background of event/organization:
Method of submission (e-mail/dropbox link):
Note: Applications will be reviewed and approved based on availability of Commissioner Patrick. If approved, a draft script or talking points will be requested to create a script. Completed videos will be e-mailed or submitted as noted in application. All requests are subject to change.
