This form is for Instructors and Instructional Designers only. TV Series/Episodes must exist in the Swank Catalog; otherwise, the request will be denied. Please work with your Libraries faculty liaison to obtain the DVD. Your Name * Penn State Email * Role * - Select -InstructorInstructional Designer Please enter film title(s) and year(s) ONLY * Example: Gladiator, 2000 For COURSE Name & Number * Name & Number * Example: ENG 101 Semester & Year * Semester & Year * Example: Spring 2017 Type of Instruction * Type of Instruction * SelectWeb OnlyResidentBlended Penn State Campus * - Select -Penn State AbingtonPenn State AltoonaPenn State BeaverPenn State BerksPenn State BrandywineDickinson School of Law, CarlisleDickinson School of Law, University ParkPenn State DuBoisPenn State EriePenn State FayettePenn State Greater AlleghenyPenn State Great ValleyPenn State HarrisburgPenn State HazletonPenn State Hershey (College of Medicine)Penn State Lehigh ValleyPenn State Mont AltoPenn State New KensingtonPenn State SchuylkillPenn State ScrantonPenn State ShenangoPenn State University ParkPenn State Wilkes-BarrePenn State YorkWorld Campus Special Instructions Leave this field blank Submit