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  ARchives & Special Collections: Permission form for Retrospective Theses & dissertations
   
 

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Introduction

The University Library has hundreds of print theses in Archives & Special Collections, most dating from the 1950s to the present. These theses will be digitized and stored in Digital Space @ Xavier, Xavier University's institutional repository. Use this form to grant permission for the Digital Collections Team to submit your thesis to Digital Space @ Xavier. Authors who submit materials to the repository must agree to the license included with the following form. This limited, non-exclusive license confirms that you have the rights to deposit these works into Digital Space @ Xavier. It gives Xavier University permission to post them openly on the Web and to take the necessary steps to preserve them. Once granted, you cannot rescind your permission for Xavier University to make accessible and preserve these works.

Under this agreement between you and Xavier University, you retain all rights you had to these items before they were deposited, such as making copies available on other web sites or publishing them in the same form or in a revised form, without obtaining permission from Xavier University. NOTE: Depositing your work into Digital Space @ Xavier may limit your ability to subsequently publish it. Authors who may want to submit their work for subsequent publication are advised to check publishers' pre-publication requirements.

Retrospective Permission Form & License

The asterisk (*) indicates a required response.

*Name:
*Email Address:
*Postal Address:
*Telephone Number:
For example: 513 745-1234
*Your Name as it Appeared on Your Thesis:
Year of Graduation:
*Department/Program:
For example, Chemistry, HESA, Education, English, etc.
Title of Your Thesis:

*License:
(please read carefully)

By agreeing to this license you (the author(s) or copyright owner) grant to Xavier University the non-exclusive right to reproduce, translate (as defined below), and/or distribute your submission (including the abstract) worldwide in print and electronic format and in any medium, including but not limited to audio or video. You agree that Xavier University may, without changing the content, translate the submission to any medium or format for the purpose of preservation.

You also agree that Xavier University may keep more than one copy of this submission for purposes of security, back-up and preservation. You represent that the submission is your original work, and that you have the right to grant the rights contained in this license. You also represent that your submission does not, to the best of your knowledge, infringe upon anyone's copyright.

If the submission contains material for which you do not hold copyright, you represent that you have obtained the unrestricted permission of the copyright owner to grant Xavier University the rights required by this license, and that such third-party owned material is clearly identified and acknowledged within the text or content of the submission.

IF THE SUBMISSION IS BASED UPON WORK THAT HAS BEEN SPONSORED OR SUPPORTED BY AN AGENCY OR ORGANIZATION OTHER THAN XAVIER UNIVERSITY, YOU REPRESENT THAT YOU HAVE FULFILLED ANY RIGHT OF REVIEW OR OTHER OBLIGATIONS REQUIRED BY SUCH CONTRACT OR AGREEMENT.

Xavier University will clearly identify your name(s) as the author(s) or owner(s) of the submission, and will not make any alteration, other than as allowed by this license, to your submission

*Agree with License?

I have read the above license and agree with all terms and conditions.

Yes:                        No:

 
After clicking the Submit button you can click the Clear button to submit another work.

 

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