Mediaspace Gallery Request Form

Ref # - 7402

Program Administrator

Contact Information
Your Name*
First Last
Your Employee ID (#A0 Number)*
Your Email*
Your position?*
Please note: if you are not the primary administrator for your program or department then your administrator must contact ETS directly before we will create a Mediaspace Gallery for you.
Please specify your primary Program*
If you are creating a Gallery for a department or program not listed please select 'Other' and specify the details in Additional Information section.
Please specify your secondary program (if applicable)
Example: 3D Modeling, Art and Animation (Computing & IT), Architectural and Building Technology (Engineering), Biomedical Engineering Technology (Health Sciences), etc.
New Mediaspace Gallery Information
Mediaspace Gallery's Name*
Please specify what you would like your new Mediaspace Gallery to be named
Please specify your Gallery's Privacy level*
Note: You can change this setting anytime after your Gallery has been created
Administrator's Name*
First Last
The name of the person who will be responsible for administering the Mediaspace Gallery
Administrator's Employee ID*
The ID of the person who will be responsible for administrating the Mediaspace Gallery
Certificate of Completion*
Accepted file types: pdf, Max. file size: 64 MB.
Please upload the administrator's Certificate of Completion from the Kaltura Mediaspace Administrator Orientation course.
Additional Information
Additional Information

Contact Information