Viterbo University - The University of Opportunity: Hope and Help

Online Conversion to Digital Format Request Form

Upon request, DVDs, VHS tapes, or audio CDs available for check-out from Viterbo’s library can be made available online for courses at Viterbo University. Please complete the following form to submit an online media conversion request for your course. NOTE: This process is done in real time so, it is not a fast process; please allow a minimum of 1 week for the conversion to take place. When your request has been fulfilled, you will be sent an email message containing a link to the work you’ve requested.


Email Address

Daytime Phone Number

Course Name
Course and Section Numbers

Course Instructor
If different from name above

Date Needed By
Please provide for at least a
one week turnaround time.
 [None] Select a Date Delete the Date  
Click on the calendar icon to select a date



For Video Requests:
Name of Video



For Audio Requests:
Name of CD

List of audio tracks needed
Include the track numbers 
and track names for each
audio track requested. 




Additional Notes (optional)




Is your course delivered face to face or online/blended? An online/blended class is defined as "conducted 50% or more online."

*Note that if your course is online/blended, you may only use a limited portion of any video or dramatic audio work due to copyright restrictions. Contact the library with questions at