Thesis Title: ___________________________________________________________________________________________
Date of submission: _____________________________________________________________________________________
Brief description of digital components:
[Example: Images of 21 drawings produced for thesis project and written reflections from digital portfolio reflecting on artistic process.]
Identify hardware and software used to produce the thesis and necessary to access the digital product submitted:
[Example: Digication's ePortfolio software using MacOSx version 10.7.5 operating system. DVD player required to view.]
List of all files submitted (a legible screen shot or typed list to include full filename, date modified, size, and kind):
[Example: about_me.html May 5, 2013 27 KB HTML document]
Before submitting the thesis to the Friends Historical Collection, check to be certain the content has properly transferred to the digital medium being submitted. This form must be included with your thesis (both the paper copy and the PDF document).
I, [full legal student name as it appear on diploma and thesis cover page], as author with the authority to grant copyright permissions for the aforementioned title, hereby authorize Guilford College to digitize, distribute, and archive the following title for nonprofit, educational purposes via the Internet or successive technologies:
[Full Official Thesis Title, Year]
This is a non-exclusive grant of permissions for online and off-line use for an indefinite term. Off-line uses shall be consistent either, for educational uses, with the terms of U.S. copyright legislation's "fair use" provisions or, by Guilford College, with the maintenance and preservation of an archival copy. Digitization allows Guilford College to generate image-based and text-based versions as appropriate to maintain file access over time and to provide and enhance access using search software.
This grant of permissions prohibits use of the digitized versions for commercial use or profit.
Printed or Typed Name Author
Date of Signature