LibForms - Permission to Film

Special Collections Permission to Film

Complete this form if you need to request permission to film any materials from Special Collections & Archives in the McClay Library. Once submitted, your request will be reviewed and you will be contacted to confirm the request.

Contact Details

Forename:(*)

Please enter a valid forename

Surname:(*)

Please enter a valid surname

Address:(*)

Please enter a valid address

City/Town:(*)

Please enter a valid city or town

Postcode:(*)

Please enter a valid UK postcode

Mobile telephone number:(*)

Please enter a valid telephone number

Email Address:(*)

Please enter a valid email address

Repeat Email Address:(*)

Emails entered do not match

Institutional Affiliation (Where relevant):

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Film Request Details

Location of filming (Select at least 1 option):(*)

Special Collections Reading Room

Cardinal Cahal Daly Seminar Room

CS Lewis Room

Please select at least one item from the list

Proposed Date:(*)

Please provide proposed film date(s)

Time:(*)

Please provide proposed film time(s)

Reasons for requesting access to film in The McClay Library:(*)

Please provide a response

Title and location references of material you wish to film:(*)

Please provide a response

Names of all people in your film crew, including presenters and interviewees:(*)

Please provide a response

Names of Special Collections & Archives Staff you wish to interview, and/or external experts or presenters you wish to bring to the Library:(*)

Please provide a response

Proposed programme title:(*)

Please provide a response

Programme maker (name and address):(*)

Please provide a response

Programme commissioned by:(*)

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Approval status:

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Proposed distribution of programme:(*)

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Anticipated date of broadcast:(*)

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I understand that this permission will be valid for this specified request only and applies insofar as Queen’s University Belfast, as owner or custodian, holds rights in the material, and does not remove the responsibility of the author, editor, and publisher to guard against infringement of any rights, including copyright that may be held by others.

Further, I agree to cite the source of the material as Queen’s University Belfast, Special Collections & Archives, QUB reference where appropriate.