Student Project Release Form

Student Project Release Form - Student Media Project Video...

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Student Media Project/ Video Release Form The signature below indicates my permission for Northeastern University to use my final media project and/or on-camera interview for educational purposes only. Project Name: CDM – Module 1 /2 Seminar: Public Service Announcements Term: Spring 2012 Course Name: Comprehensive Disease Management Seminar (1/2) Instructor: Drs. Van Amburgh and Gonyeau The final media project and/or interview may be used by Northeastern for the following purposes: Conference presentations Educational presentations Informational presentations Posted on a Northeastern-supported educational website for the promotion of assigning student media projects. The University will use my work in read-only form. The University will credit any use of my work in the presentations listed above. The University will provide that my work, in whole or in part, will not be used in a way which will change the original meaning of my work. I will be consulted and have prior right of approval about the use of media project and/or interview for any
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Unformatted text preview: purpose other than those listed above. I agree that there is no geographic specification of where these materials may be presented. I understand and agree that I must comply with any and all applicable state and federal laws, including copyright laws and restrictions, as well as any applicable license agreements. ( ). I assume responsibility for any actions on my part which may result in a claim against the University or any other party related to University resources which I use on my project , and I agree to indemnify and hold the University harmless from any such claim . I understand that my failure to comply with these policies, laws and rules may result in referral for potential disciplinary action. I have been given a copy of this release for my records. Name (Please print): Date: / / Signature: Address (local): Phone: E-mail:...
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  • Fall '13
  • MargaritaDiVall
  • Meaning of life, United States Congress, Final Media Project

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