Video Intake Form

1. Primary Point of Contact

Name

Department / Program

Email

Best way to contact you

If someone other than you has final approval for the project, or if there are required reviewers, please identify them here.

2. Project Details

What is the working title or topic of the video?

Please describe the project, program, event, story, or issue this video will support.

Why is this video needed at this time?

Is this request connected to a larger campaign, event, initiative, presentation, meeting, media release, or other deadline? If yes, please include any fixed date we should know about.

Will this project require prepared written content such as a script, narration, talking points, or a scripted on-camera message?

Yes No Not sure

Will this project require voiceover?

Yes No Not sure

3. Video Goals

What is the main goal of this video?

What do you want viewers to understand, feel, or do after watching?

What are the most important messages or takeaways?

4. Audience and Distribution

Who is the primary audience for this video?

Are there any secondary audiences we should keep in mind?

What is the ideal video length?

What video format is needed?

Horizontal (traditional) Vertical (social-focused) Both Not sure

Are there specific platforms or accessibility needs to consider?

Completed videos will be delivered through Vimeo for the requestor to download and use for the approved purposes identified in this request.

5. Production and Filming Needs

What do you picture this video including? Select all that apply.

One person speaking directly to camera Interviews or testimonials Supporting footage / b-roll of people, programs, activities, or locations Multiple people or locations Editing of existing footage only Other Not sure

What production elements do you think may be needed? Select all that apply.

New filming Editing of existing footage Standard video graphics and simple motion graphics Other Not sure

Standard graphics may include titles, lower thirds, logos, animated text, or basic chart/graph animation.

Projects requiring custom illustration, character animation, advanced motion graphics, complex animated sequences, or other specialized animation will require an outside vendor and separate budget and may affect the project timeline.

Who would you like to appear or be interviewed in the video?

Are there specific locations, dates, events, activities, or moments you think should be captured?

Will filming likely require travel outside the St. Louis area?

Yes No Not sure

Are there any special considerations for filming, privacy, permissions, or accessibility that we should know about at this stage?

Are you aware of anyone being considered for the video who has opted out of publicity or has other privacy/consent restrictions?

Will any intended participants be under age 18 or otherwise require a parent/legal guardian to complete a release?

Yes No Unsure

6. Assets and References

Will existing photos, video clips, logos, graphics, statistics, documents, or other materials be useful for this project?

Yes No Not sure

If you have examples of videos or styles you like, feel free to share or link them.

If not, that’s completely fine. Video Production can use the style and approach typically used for Easterseals Midwest videos.

Are there required brand guidelines, names, titles, statistics, disclaimers, or other content requirements?

Who is the subject-matter expert who can verify the accuracy of names, titles, statistics, program information, and other content used in the video?

Final content accuracy should be confirmed by the requestor and designated reviewers before approval.

Are there any words, images, topics, or details that should be avoided?

7. Timeline, Budget, and Approvals

If there is a required final delivery date, what is it?

Please allow at least three weeks for video production whenever possible. If your timeline is shorter, that’s okay — submit the request anyway and we’ll talk through what may be possible.

If you have a preferred completion date, what is it?

Are there any other important milestones or review dates we should know about?

Is there a budget allocated for this project?

Yes No Not sure

Is there anything else Video Production should know before beginning?

Request a video.

1. Primary Point of Contact

2. Project Details

3. Video Goals

4. Audience and Distribution

5. Production and Filming Needs

6. Assets and References

7. Timeline, Budget, and Approvals

Thanks — your video request was submitted.