Fillable 11-17 Revised Clearance Reproduction Of Project Thesis Information (California State University, Fresno)

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11-17 Revised Clearance Reproduction Of Project Thesis Information (California State University, Fresno)

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REPRODUCTION OF PROJECT / THESIS DOCUMENT
AUTHORIZATION TO REPRODUCE PROJECT/THESIS DOCUMENT AND
ABSTRACT FOR DIGITAL/ELECTRONIC LIBRARY
Student Name: ______________________________________ Student ID: ______________
I. MASTER’S IN SOCIAL WORK CLEARANCE
Culminating Experience
_____Thesis
_____Project
Title of Project Thesis:_________________________________________________________
Name of Project/Thesis Chair:___________________________________________________
Name(s) of
Readers:_____________________________________________________________________
___________________________________________________________________________
II.
REPRODUCTION OF PROJECT/THESIS DOCUMENT
INCLUDE AN ABSTRACT FOR ARCHIVE (to this form)
ALL STUDENTS MUST
EMAIL AN ELECTRONIC COPY OF THE
PROJECT/THESIS TO CHAIR.
I understand that the Department of Social Work Education (DSWE) at California State
University, Fresno requires me to submit a copy of my project/thesis in digital/electronic format.
DSWE will make a digital/electronic copy of my project/thesis and the accompanying abstract
for inclusion in a digital/electronic read-only ARCHIVE to be maintained by DSWE. The
purpose of this ARCHIVE is to document student work for administrative and programmatic
reviews conducted by DSWE, the University and our accrediting body, the Council on Social
Work Education (CSWE). My signature indicates I have read and I understand the above
notice.
(Signature)
(date)
III. AUTHORIZATION TO REPRODUCE PROJECT/THESIS DOCUMENT AND
ABSTRACT FOR DIGITAL/ELECTRONIC LIBRARY (DWSE requests that
you permit the additional use of the digital copy of your project/thesis in an
electronic library as described below)
I give permission to the Department of Social Work Education (DSWE) at California State
University, Fresno, to copy my project/thesis document and the accompanying abstract for the
purpose of including it in a Project/Thesis digital/electronic read-only library. The purpose of
this
library is to fulfill a professional responsibility to contribute to the professional social work
knowledge base by making project/thesis documents available for use in research and classroom
activities conducted by DSWE faculty and by future BA social work majors and MSW students.
MASTER’S IN SOCIAL WORK CLEARANCE
DEPARTMENT OF SOCIAL WORK EDUCATION
Rev: 8-17 MB
I understand that:
1.
Inclusion of my project/thesis document in the Project/Thesis Library is
COMPLETELY VOLUNTARY. Electing to exclude my project/thesis document
from
the library will have no effect on me academically or professionally.
2.
The Project/Thesis digital/electronic read-only library is controlled and limited to DSWE
faculty and student may be posted to a secure internal department WEB site that is
accessible ONLY by
DSWE faculty and students. No part of the document, with the
exception of the title page
and author's name, may be disseminated without my
permission through any medium that can be accessed by the general public.
3.
A database of abstracts from the projects/theses will be created. Information about my
project/thesis (limited to the title, author, chair/readers and abstract) may be published in
DSWE media. DSWE media may be disseminated within the department as well as to
the University and the larger community.
4.
Users will not be allowed to make partial or full copies of my work in digital/electronic
form under any circumstance.
Please initial the statement that indicates your wishes and sign and date (check
only ONE [1]):
1
._
I authorize the reproduction and use of my project/thesis document as outlined
above.
2
._
I authorize the reproduction and use of my project/thesis document as outlined
above
EXCEPT, I WITHOLD permission to include a copy of the ABSTRACT of
my
project/thesis in any document or electronic/WEB collection produced by DSWE
for
faculty, students, or the professional community.
3
._
I DO NOT give DSWE permission to include my project/thesis in the Project/Thesis
digital/electronic read-only library.
(Signature)
(Date)
ADDRESS (AFTER GRADUATION)
Street Address City/State Zip
Cell ______________ Home _____________ Other _______
Please attach a copy of the project/thesis abstract with identifying information (Title, Author, Reader’s
Names, Year). No more than one type page.
NOTE: Graduate Clearance form will not be submitted to the Graduate Studies office until this form and a
copy of the abstract are received by the Social Work Education Department.
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11-17 Revised Clearance Reproduction Of Project Thesis Information (California State University, Fresno)

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Completed 16 July 2020

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