Culminating Experience Processing Fee From
One duplicate set of (if required):
I agree to the above statement (initial):
Name of Author(s) - List in same order as on title page, if joint thesis/project (joint dissertations not accepted):
Title of Thesis/Project/Dissertation (write EXACTLY as it appears on the title page):
department chair; and an Abstract of Thesis / Project / Dissertation signed by the thesis / project / dissertation committee chair.
The bibliographic information (e.g. author(s), title, subject terms, number of pages) for your thesis/project/dissertation will be entered into
the Library's online catalog at Sacramento State, the CSU-wide combined library catalog, and the international database, OCLC
This is an non-exclusive grant of permissions for specific offline and online uses for an indefinite term. Offline uses shall
be limited to those specifically allowed by "Fair Use" as prescribed by the terms of United States copyright legislation (cf,
Title 17, U.S. Code) as well as to the maintenance and preservation of a digital archive copy. Digitization allows
California State University, Sacramento and its digitization vendors to generate image and text-based versions as
appropriate and to provide and enhance access using search software.
If you are submitting software, please type or clearly write on back of this form information needed for use of the software. Include
information on hardware (PC, Macintosh, etc.), software (DOS, BASIC, etc), screen type (color or monochrome), size and type of disk
(low or high density), memory required and any other information relevant to effective use.
Please list a minimum of three (3) descriptive words or brief phases, other than the words in the title, that will provide additional ways of
finding your project/thesis/dissertation in the Library's online catalog:
Master's Thesis, Project or Doctoral Dissertation; Title Page; Approval Page signed by the reader / readers; a Format Approval Page signed by the graduate coordinator or
This is to acknowledge receipt of the following requirements from the above-named student(s) by the Office of Graduate Studies.
Check box, if you are submitting SOFTWARE
*Indicate degree exactly as it appears on the title page (e.g. Master of Science in Accountancy (Taxation))
Submitted in partial fulfillment of the requirements for the degree of * :
Please type or print CLEARLY
Submit TWO (2) copies of THIS form ALONG with the thesis / project / dissertation title page & ALL signature pages.
THESIS / PROJECT / DISSERTATION RECEIPT FORM
Office of Graduate Studies
Graduate Studies Office Use Only
I authorize California State University, Sacramento to digitize and distribute my thesis/project/dissertation for nonprofit,
educational purposes via the internet (Scholar Works) or successive technologies and interlibrary loan.