Please indicate your status from the selections below.

XU Undergraduate
XU Graduate
XU Faculty/Staff
XU Alumni
Other

Information About the Item to be Published:

Please provide the title and/or description of the material in archives, special or digital collections to be published.

Select a Format Book/Book Chapter Brochure Magazine Article Newspaper article Scholarly Journal Article Video or Film Web Site Other

If you selected Other (format), please describe:

Expected Print Run:

Conditions of Use :

1. Purchase of a copied photographic image or other reproduction does not carry with it the right to publish or make a reproduction in any form. Applicants may not reproduce/publish or permit others to reproduce/publish purchased photographic copies or other reproductions without written permission from the Xavier University Permissions Officer.
2. Reproduction for personal use does not require permission. Any other use, such as publication or exhibition, requires specific permission from the Xavier University Permissions Officer.
3. Permission is for non-exclusive, one-time only use, with no other rights. Permission is limited to the use and format as indicated by the applicant only, and excludes all other uses and formats. All subsequent use and reuse, in any form, must be applied for in a separate request.
4. Permission is valid only for the individual, company, or institution to which it is specifically issued and may not be transferred, assigned, or sold, or otherwise disposed of without prior written permission of the Xavier University Permissions Officer.
5. In authorizing the publication of a specific photographic image or other reproduction Xavier University does not surrender its own right to use the image, or to grant that right to others.
6. Attribution/credit must appear directly beneath the image published or reproduced. Video and film attribution/credit must appear in the section devoted to acknowledgements. The proper attribution/credit statement should reflect the origin of the photographic image or other reproduction:

   • Published with the permission of Xavier University Archives (Cincinnati, Ohio) or
   • Published with the permission of Xavier University Special Collections (Cincinnati, Ohio) or
   • Published with the permission of Xavier University Digital Collections (Cincinnati, Ohio)
7. Responsibility for observance of copyright and other publication rights, including literary rights, as defined by the Copyright Act of 1976 and other applicable copyright laws, rests with the applicant and not with Xavier University archives, special, or digital collections.
8. In many cases Xavier University can claim only physical ownership of these materials and it is the obligation of the applicant to fulfill any requirements of copyright law.
9. In addition, use of some materials may infringe upon the rights of copyright holders unknown to Xavier University and the applicant is responsible for satisfying any claims of the copyright holder. The applicant shall indemnify and hold harmless Xavier University archives, special, or digital collections against any and all claims by third parties.
10. Xavier University archives, special and digital collections reserves the right to charge for the use of materials as it deems appropriate in any individual case.

I have read and agree to the conditions specified above:

Yes:     No:

More Information:

If you have questions concerning the Conditions of Use, please contact the Xavier University Permissions Officer:

Amy Filiatreau
filiatreaua@xavier.edu
513 745-4359