Virginia Tech Graduate School
Electronic Submission Approval Form
library-friendly draft
Italicized text is recommended but not approved at Virginia Tech. (GMc)
Student Name:
___________________________________________________
ID#:
___________________________________________________
Degree:
___ Bachelor's
___ Master's
___ Doctorate
Document Type:
___ Project Report
___ Thesis
___ Dissertation
Document Title:
___________________________________________________
___________________________________________________
___________________________________________________
Student Agreement:
I hereby certify that, if appropriate, I have obtained and attached
hereto a written permission statement from the owner(s) of each third
party copyrighted matter to be included in my thesis, dissertation, or
project report, allowing distribution as specified below.
I hereby grant to Virginia Tech and its agents the non-exclusive
license to archive and make accessible, under the conditions specified
below, my thesis, dissertation, or project report in whole or in part
in all forms of media, now or hereafter known. I retain all
ownership rights to the copyright of my work. I also retain the right to
use all or part of this thesis, dissertation, or project report in future works
(such as articles or books).
Student and Committee Agreement:
Part A. In addition to the unrestricted display of the bibliographic
information and the abstract, we agree that the above mentioned work be
placed in the ETD archive with the following status:
(choose one of 1, 2, 3, or 4)
___
1.
Release the entire work immediately for access worldwide.
___
2.
Restrict access to the entire work to Virginia Tech, except for
interlibrary sharing. After two years release my work worldwide unless
you receive in writing a request from me to continue restricted access.
___
3.
Secure the entire work (including bibliographic information and the abstract)
from any access for patent and/or proprietary purposes
for a period of two years. During this period I, the copyright owner, also
agree not to exercise my ownership rights, including public use
in future works, without prior authorization from Virginia Tech. After two
years release my work worldwide unless you receive in writing a request
from me to continue withholding access.
___
4.
Release the entire work for Virginia Tech access only, except for
interlibrary sharing, while at the same time releasing the following
parts of the work only (e.g., because other parts relate to publications)
for worldwide access
(check all that apply or provide an attached list):
___ (no.)
Files named as follows (i.e., separate PDF or multimedia files):
________________________________________________
________________________________________________
________________________________________________
Review and Acceptance:
The above mentioned document has been reviewed and accepted by the
student's advisory committee. The undersigned agree to abide by the
statements above, and agree that this Approval Form updates any and
all previous Approval Forms submitted heretofore.
Signed:
____________________________________
________________
(student)
(date)
Committee:
____________________________________
________________
____________________________________
________________
____________________________________
________________
____________________________________
________________
____________________________________
________________
(committee member)
(date)
19980105 (GMc)