{"id":12259,"date":"2022-11-14T16:44:06","date_gmt":"2022-11-14T21:44:06","guid":{"rendered":"https:\/\/www.med.unc.edu\/it\/?page_id=12259"},"modified":"2023-07-17T16:07:36","modified_gmt":"2023-07-17T20:07:36","slug":"project-intake-form","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/it\/services\/video-production\/project-intake-form\/","title":{"rendered":"Submit a Project Proposal"},"content":{"rendered":"<p class=\"lead\">The School of Medicine IT, Instructional Media Services (IMS) team works directly with School of Medicine (SOM) faculty, staff, and students to develop media and immersive projects that support SOM goals. We invite those seeking production support to submit a project application using the form below. Submitted proposals are reviewed on a case-by-case basis to determine the project\u2019s intended impact, alignment with goals, feasibility, and availability of IMS resources for support.<\/p>\n<p class=\"lead\">If you would like to propose a project, please use the form below &#8211; we will review and get back to you as soon as possible. If you would like to discuss something else with one of our media and immersive technology experts, please feel free to send us an email at <a href=\"mailto:ims@med.unc.edu\">ims@med.unc.edu<\/a>.<br \/>\n<\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Project Proposal Application for IMS Support:<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_16'  action='\/it\/wp-json\/wp\/v2\/pages\/12259\/' data-formid='16' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_16' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_16_67\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_67'>Facebook<\/label><div class='gfield_description' id='gfield_description_16_67'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_67' id='input_16_67' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_16_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Requestor Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_16_4'>\n                            \n                            <span id='input_16_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_16_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_4.3' id='input_16_4_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_16_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_16_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_4.6' id='input_16_4_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><\/li><li id=\"field_16_32\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_32'>Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_32' id='input_16_32' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_6'>Project Title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_16_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_36\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_36'>Project Description &amp; Goals:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_36'>Please indicate the business need and how the project aligns with institutional goals. Please include what success for this project will look like and how this will be measured.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_36' id='input_16_36' class='textarea large'  aria-describedby=\"gfield_description_16_36\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_37\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_37'>Executive Sponsor(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_37'>Please attach a statement of support from the executive sponsor(s)  (e.g., dean, department chair).<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='101711872' \/><input name='input_37' id='input_16_37' type='file' title='Executive Sponsor(s):' accept='docx, pdf'class='large' aria-describedby=\"gfield_upload_rules_16_37 gfield_description_16_37\" onchange='javascript:gformValidateFileSize( this, 101711872 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_16_37'>Accepted file types: docx, pdf, Max. file size: 97 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_16_37'><\/div> <\/div><span id='field_16_37_fmessage' class='sr-only'>Maximum file size - 97 mega bytes. <\/span><\/li><li id=\"field_16_38\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_38'>Additional Project Stakeholders:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_38'>(e.g., primary investigators, faculty members, course directors, courses impacted, office directors)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_16_38' class='textarea large'  aria-describedby=\"gfield_description_16_38\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_10'>Requesting Department\/Organization:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_16_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Intended Uses:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_33'>(Please check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_33'><li class='gchoice gchoice_16_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Education'  id='choice_16_33_1'   aria-describedby=\"gfield_description_16_33\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_1' id='label_16_33_1' class='gform-field-label gform-field-label--type-inline'>Education<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='Research'  id='choice_16_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_2' id='label_16_33_2' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='Communication'  id='choice_16_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_3' id='label_16_33_3' class='gform-field-label gform-field-label--type-inline'>Communication<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_33_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.4' type='checkbox'  value='Marketing'  id='choice_16_33_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_4' id='label_16_33_4' class='gform-field-label gform-field-label--type-inline'>Marketing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_33_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.5' type='checkbox'  value='Publication'  id='choice_16_33_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_5' id='label_16_33_5' class='gform-field-label gform-field-label--type-inline'>Publication<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_33_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.6' type='checkbox'  value='Other (Please indicate below):'  id='choice_16_33_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_33_6' id='label_16_33_6' class='gform-field-label gform-field-label--type-inline'>Other (Please indicate below):<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_26'>Other:<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_16_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p><strong>Please Note<\/strong>: If this content is intended for marketing purposes, please ensure this proposal has been approved by the UNC SOM Integrated Communications team.\n<br>\n<a href=\"https:\/\/www.med.unc.edu\/intranet\/integrated-communications\/\">School of Medicine Integrated Communications - School of Medicine Intranet (unc.edu)<\/a><\/p><\/li><li id=\"field_16_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will this content be used internally, externally, or both?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_44'>(Please check one)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_44'>\n\t\t\t<li class='gchoice gchoice_16_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='Internally'  id='choice_16_44_0'    \/>\n\t\t\t\t<label for='choice_16_44_0' id='label_16_44_0' class='gform-field-label gform-field-label--type-inline'>Internally<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_44_1'>\n\t\t\t\t<input name='input_44' type='radio' value='Externally'  id='choice_16_44_1'    \/>\n\t\t\t\t<label for='choice_16_44_1' id='label_16_44_1' class='gform-field-label gform-field-label--type-inline'>Externally<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_44_2'>\n\t\t\t\t<input name='input_44' type='radio' value='Both'  id='choice_16_44_2'    \/>\n\t\t\t\t<label for='choice_16_44_2' id='label_16_44_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_45\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Target Audience(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_45'>(Please check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_45'><li class='gchoice gchoice_16_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='MD Students'  id='choice_16_45_1'   aria-describedby=\"gfield_description_16_45\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_1' id='label_16_45_1' class='gform-field-label gform-field-label--type-inline'>MD Students<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='Graduate Students'  id='choice_16_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_2' id='label_16_45_2' class='gform-field-label gform-field-label--type-inline'>Graduate Students<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.3' type='checkbox'  value='Health Sciences Students'  id='choice_16_45_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_3' id='label_16_45_3' class='gform-field-label gform-field-label--type-inline'>Health Sciences Students<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.4' type='checkbox'  value='Residents'  id='choice_16_45_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_4' id='label_16_45_4' class='gform-field-label gform-field-label--type-inline'>Residents<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.5' type='checkbox'  value='Fellows'  id='choice_16_45_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_5' id='label_16_45_5' class='gform-field-label gform-field-label--type-inline'>Fellows<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.6' type='checkbox'  value='CME'  id='choice_16_45_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_6' id='label_16_45_6' class='gform-field-label gform-field-label--type-inline'>CME<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.7' type='checkbox'  value='Faculty'  id='choice_16_45_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_7' id='label_16_45_7' class='gform-field-label gform-field-label--type-inline'>Faculty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.8' type='checkbox'  value='Staff'  id='choice_16_45_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_8' id='label_16_45_8' class='gform-field-label gform-field-label--type-inline'>Staff<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.9' type='checkbox'  value='Patients'  id='choice_16_45_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_9' id='label_16_45_9' class='gform-field-label gform-field-label--type-inline'>Patients<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_45_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.11' type='checkbox'  value='Other (Please indicate below):'  id='choice_16_45_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_45_11' id='label_16_45_11' class='gform-field-label gform-field-label--type-inline'>Other (Please indicate below):<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_46'>Other:<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_16_46' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_47\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p><strong>Please Note<\/strong>: If patients are included in the target audience, you are required to vet proposed patient-facing content through UNC Health\u2019s Integrated Communications' Director of Content & Patient Communications (<a href=\"radhika.bombard@unchealth.unc.edu\">radhika.bombard@unchealth.unc.edu<\/a>).<\/p>\n<p>Have you already vetted this proposal through <a href=\"https:\/\/www.med.unc.edu\/intranet\/integrated-communications\/\">UNC Health\u2019s Integrated Communications office<\/a>?<\/p><\/li><li id=\"field_16_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will this content be used in any courses?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_48'>\n\t\t\t<li class='gchoice gchoice_16_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_16_48_0'    \/>\n\t\t\t\t<label for='choice_16_48_0' id='label_16_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='No'  id='choice_16_48_1'    \/>\n\t\t\t\t<label for='choice_16_48_1' id='label_16_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_49\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_49'>Please list the course(s) below:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_16_49' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_50'>What are the learning objectives for this content?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_16_50' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the content be optional or mandatory?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_52'>\n\t\t\t<li class='gchoice gchoice_16_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Optional'  id='choice_16_52_0'    \/>\n\t\t\t\t<label for='choice_16_52_0' id='label_16_52_0' class='gform-field-label gform-field-label--type-inline'>Optional<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Mandatory'  id='choice_16_52_1'    \/>\n\t\t\t\t<label for='choice_16_52_1' id='label_16_52_1' class='gform-field-label gform-field-label--type-inline'>Mandatory<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_53\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_53'>Describe the mode of teaching used to deliver the content (e.g. flipped, didactic, asynchronous):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_16_53' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_54\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_54'>Type(s) of Media &amp; Anticipated Length:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_54'>Please indicate the type of media desired and anticipated length of finished content   (e.g. a video, video series (include number of videos), podcast \/ audio only, interactive content etc.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_16_54' class='textarea large'  aria-describedby=\"gfield_description_16_54\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Intended Distribution Methods:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_39'>(Please check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_39'><li class='gchoice gchoice_16_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='SOM Website (embedded)'  id='choice_16_39_1'   aria-describedby=\"gfield_description_16_39\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_1' id='label_16_39_1' class='gform-field-label gform-field-label--type-inline'>SOM Website (embedded)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='External Website (embedded)'  id='choice_16_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_2' id='label_16_39_2' class='gform-field-label gform-field-label--type-inline'>External Website (embedded)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='LMS module (embedded)'  id='choice_16_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_3' id='label_16_39_3' class='gform-field-label gform-field-label--type-inline'>LMS module (embedded)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='Streaming (content hosted on Panopto, YouTube, etc.)'  id='choice_16_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_4' id='label_16_39_4' class='gform-field-label gform-field-label--type-inline'>Streaming (content hosted on Panopto, YouTube, etc.)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='Podcast'  id='choice_16_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_5' id='label_16_39_5' class='gform-field-label gform-field-label--type-inline'>Podcast<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.6' type='checkbox'  value='Livestream (live event or presentation streamed via YouTube or Zoom)'  id='choice_16_39_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_6' id='label_16_39_6' class='gform-field-label gform-field-label--type-inline'>Livestream (live event or presentation streamed via YouTube or Zoom)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.7' type='checkbox'  value='Broadcast (pre-recorded or live for use on closed-circuit or media outlets, e.g., TV, radio)'  id='choice_16_39_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_7' id='label_16_39_7' class='gform-field-label gform-field-label--type-inline'>Broadcast (pre-recorded or live for use on closed-circuit or media outlets, e.g., TV, radio)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.8' type='checkbox'  value='In-person (e.g., facilitator-led workshop or course)'  id='choice_16_39_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_8' id='label_16_39_8' class='gform-field-label gform-field-label--type-inline'>In-person (e.g., facilitator-led workshop or course)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_16_39_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.9' type='checkbox'  value='Other (Please indicate below):'  id='choice_16_39_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_39_9' id='label_16_39_9' class='gform-field-label gform-field-label--type-inline'>Other (Please indicate below):<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_25'>Other:<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_16_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will this involve sensitive or difficult information?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_29'>\n\t\t\t<li class='gchoice gchoice_16_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Yes'  id='choice_16_29_0'    \/>\n\t\t\t\t<label for='choice_16_29_0' id='label_16_29_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='No'  id='choice_16_29_1'    \/>\n\t\t\t\t<label for='choice_16_29_1' id='label_16_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_31'>Please describe the type(s) of sensitive information below:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_31'>(e.g., Protected Health Information (PHI), intellectual property, graphic content, minors, violence, controversial content)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_16_31' class='textarea large'  aria-describedby=\"gfield_description_16_31\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_58\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_58'>Project Timeline:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_58'>Please include all known deadlines\/important dates for consideration. If there are no existing deadlines, please indicate this flexibility below.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_16_58' class='textarea large'  aria-describedby=\"gfield_description_16_58\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_30\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_30'>Project Lifespan:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_30'>(e.g., what is the expected lifespan of the project\u2019s content and how often will it need to be updated?)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_16_30' class='textarea large'  aria-describedby=\"gfield_description_16_30\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_59\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_59'>Existing Resources:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_59'>(e.g., staff, interns, actors, media assets, props)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_59' id='input_16_59' class='textarea large'  aria-describedby=\"gfield_description_16_59\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_34'>Budget:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_34'>(e.g., $20,000, $5-$10K. If this budget has already been allocated to specific resources, please include these in your description below)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_16_34' class='textarea large'  aria-describedby=\"gfield_description_16_34\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is this project request tied to a research grant or presentation proposal?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_60'>\n\t\t\t<li class='gchoice gchoice_16_60_0'>\n\t\t\t\t<input name='input_60' type='radio' value='Yes'  id='choice_16_60_0'    \/>\n\t\t\t\t<label for='choice_16_60_0' id='label_16_60_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_60_1'>\n\t\t\t\t<input name='input_60' type='radio' value='No'  id='choice_16_60_1'    \/>\n\t\t\t\t<label for='choice_16_60_1' id='label_16_60_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_63\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_63'>Please describe the entity you are submitting this work to below:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_63' id='input_16_63' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the outcome of this project be used for monetary gains?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_62'>\n\t\t\t<li class='gchoice gchoice_16_62_0'>\n\t\t\t\t<input name='input_62' type='radio' value='Yes'  id='choice_16_62_0'    \/>\n\t\t\t\t<label for='choice_16_62_0' id='label_16_62_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_62_1'>\n\t\t\t\t<input name='input_62' type='radio' value='No'  id='choice_16_62_1'    \/>\n\t\t\t\t<label for='choice_16_62_1' id='label_16_62_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_16_61\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_61'>Please describe the nature of the anticipated monetary gains below:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_16_61' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_64\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Types of Support Needed:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_64'>(Please check all that apply)<\/div><div 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