Augustine House student photography and filming permission form

Students seeking to film or take photographs within Augustine House require permission.

As Augustine House is a study space for use by all staff and students, it is important that filming/photography activities do not impede quiet or silent study or cause any disruption to others using the library. Whilst we try to accommodate such requests wherever possible, sometimes we may have to decline or modify requests to meet with operational needs.

Please complete the request form and give a minimum of two-weeks notice, prior to the potential filming date.

One of our members of the Learning and Library Resource team will contact you to discuss the request within five working days. We look forward to working with you to accommodate your needs and to help make your filming a success.

Permission Form
Name
Email
Contact phone number
Which specific area of Augustine House would you like to film?

e.g atrium, first, second, third floor, staircase, front room, balcony, room number – please give as much detail as possible.
What furniture/equipment is required?

i.e tables, chairs, PC etc. Would you need to move, rearrange or remove anything?
Potential date/time for filming?
Duration of filming?

i.e 15 mins, 30 mins, 1 hour
How many people will be involved with filming?

i.e 15 mins, 30 mins, 1 hour
Will actors be moving around?
YesNo
What is the anticipated noise level?
LowMediumHigh
What will the filming be about?

Please give as much information as possible, i.e storyline and subject and tone of the project.
Reason for filming?
CourseModuleAssignment
Where and when will the footage/photos be published?

Please give as much information as possible, i.e storyline and subject and tone of the project.
Please note, permission forms will be kept on file for six months.
Have you confirmed that a risk assessment has been completed and approved by your lecturer/tutor/Students’ Union management team? A copy will need to be submitted prior to filming.
I confirm

Augustine House student photography and filming permission form

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