Fillable Central Connecticut State University - Student Agreement for Public Access Through Digital Repository

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Central Connecticut State University - Student Agreement for Public Access Through Digital Repository

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Rev. 2018-10-25
Elihu Burritt Library Thesis and Dissertation Public Access Approval Form
Student Name:
(Last)
(First)
(Middle)
(Year of Birth)
*
E-mail Address:
Phone Number:
Type:
⃝ Master’s Thesis
⃝ Ed.D. Dissertation
Title:
Student Agreement for Public Access Through Digital Repository
⃝ I give permission / ⃝ I do not give permission to Elihu Burritt Library, Central Connecticut
State University to
provide public access to my thesis or dissertation through the Digital
Repository. Note: access to theses or dissertations for which permission for public access has
not been granted will be restricted to authorized members of the CCSU community.
Changes to this Digital Repository agreement should be made in writing to: Information Systems and Resources,
Elihu Burritt Library, Central Connecticut State University; 1615 Stanley Street; New Britain, Connecticut 06050
Student Signature
Thesis advisor’s signature is required for remote access through the Digital Repository and
for access through Interlibrary-Loan
Thesis Advisor Signature
Dean, School of Graduate Studies Signature
Questions?
Please feel free to contact Steven Bernstein, Associate Librarian for Cataloging & Metadata with
any questions you may have. He can be reached at Bernsteinstj@ccsu.edu or (860) 832-2079.
*
Year of birth is required to allow the library to create a unique identifier for your name while cataloging your thesis
or dissertation. This identifier, called an Authority Record, serves to disambiguate you from other individuals who
might share your name.
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Central Connecticut State University - Student Agreement for Public Access Through Digital Repository

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Completed 30 May 2020

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