Fillable RETURN FULLY EXECUTED TO STUDENT Electronic Thesis and (University of Vermont)

Fill Online, Printable, Fillable, Blank RETURN FULLY EXECUTED TO STUDENT Electronic Thesis and (University of Vermont) Form

Use Fill to complete blank online UNIVERSITY OF VERMONT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

RETURN FULLY EXECUTED TO STUDENT Electronic Thesis and (University of Vermont)

On average this form takes 5 minutes to complete

The RETURN FULLY EXECUTED TO STUDENT Electronic Thesis and (University of Vermont) form is 2 pages long and contains:

  • 0 signatures
  • 2 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of Vermont

BROWSE UNIVERSITY OF VERMONT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
RETURN FULLY EXECUTED TO STUDENT
Electronic Thesis and Dissertation Rights and Permissions
Student Name: ______________________________________________________
(First) (Last)
Permanent
E-mail Address: ________________________________ Dept./Program __________________________
Graduation Date: ______________ Document Type: ___ Master’s Thesis ___ Doctoral Dissertation
(Semester)/(Year)
Thesis or Dissertation Title:
Names and signatures of committee members: (Please type name and have them sign at defense)
Student Agreement:
I certify that my electronic submission is the version of my thesis or dissertation that was approved by my
committee, and that I have obtained all necessary permission in writing for copyrighted material to be
published in my thesis or dissertation. Further, I certify that I have obtained and attached hereto a written
permission statement from the owner(s) of any copyrighted matter to be included in my thesis or
dissertation allowing distribution as specified below. Copies of all such permissions are maintained in my
files.
Please Note: You are the owner of the copyright in your thesis/dissertation. By executing this document
you are granting permission to The University of Vermont to publish your thesis or dissertation on the
World Wide Web immediately upon graduation unless otherwise specified.
I hereby grant to the University of Vermont and its employees the nonexclusive license to archive and
make accessible, under the conditions specified below, my thesis or dissertation in whole or in part in all
forms of media, now or hereafter known. This is a license rather than assignments, and I, therefore, retain
all rights to the thesis or dissertation, including the right to use in future works (such as articles or books)
all or part of this thesis or dissertation.
I agree that the above referenced thesis or dissertation may be placed in The University of Vermont
electronic thesis/dissertation (ETD) digital library with the following status:
RETURN FULLY EXECUTED TO STUDENT
Please check one of the following:
A. _____ The University of Vermont is authorized to release the entire work immediately
for access worldwide.
B. _____ My thesis or dissertation is based on data generated through research that will
support other publications from people on the research team (such as my advisor); OR I
am planning to publish all or part of my thesis or dissertation and know that publishers in
my field consider open access electronic thesis/dissertations to be a prior publication.
C. _____ My thesis or dissertation contains intellectual property that has been disclosed
according to The University of Vermont Intellectual Property Policy for patent and/or
proprietary purposes. I have been in contact with the Office of Technology
Commercialization and they have authorized blocked access to the entire work both on
The University of Vermont campus and worldwide to protect the work for patent and/or
proprietary purposes for the period indicated, my Invention Disclosure Form
is attached
to this document.
If you checked B or C above, please select the one of the following options:
i. _____ I request that The University of Vermont embargo (block) access to the
electronic full text of my thesis or dissertation through the University Library for
six (6) months* from the date my manuscript is approved by the Graduate
College.
ii. _____ I request that The University of Vermont embargo (block) access to the
electronic full text of my thesis or dissertation through the University Library for
one (1) year* from the date my manuscript is approved by the Graduate College.
iii. _____ I request that The University of Vermont embargo (block) access to the
electronic full text of my thesis or dissertation through the University Library for
two (2) years* from the date my manuscript is approved by the Graduate College.
*Important note: It is the student’s responsibility to renew an embargo through ProQuest and the
UVM libraries should more time be necessary. Students should log into ProQuest to request
additional time and also send an e-mail to both gradcoll@uvm.edu and scholarworks@uvm.edu
including the student name, year of graduation, degree and the additional amount of time needed.
The undersigned agrees to abide by the statements above, and agrees that this approval form updates any
and all previous approval forms submitted heretofore.
Signed: __________________________________________ ____________________________
(Student) (Date)
Advisor Agreement (Required):
I have reviewed the final electronic version of the above-mentioned document and have determined
that it is an accurate representation of the document reviewed and accepted by the Defense
Committee, and acknowledge the student’s embargo choice.
_____________________________________ ________________________
(Print name of Thesis/Dissertation Advisor) (Date)
_____________________________________
(Signature of Advisor – Required)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

RETURN FULLY EXECUTED TO STUDENT Electronic Thesis and (University of Vermont)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 31 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document