page title
Permission To Copy, Distribute, And Display A Copyrighted Work
___________________, of ___________________________, hereby grants North Carolina State University ("University"), the right to copy, distribute, and display a work entitled ___________________________ ("Work") under the terms set forth below. The Work is a __________________ [describe type of work]. __________________ holds the copyright in the Work. ___________________________ represents that the Work does not infringe the copyright or other legal rights of any third parties. The Work was copyrighted in the year ____ .
All the following terms apply to this Permission:
The University may copy/reprint the Work, and distribute and display it for use in ____________________. [Add any other restrictions here. E.g., No more than _____ copies may be made by the University. Or, All electronic copies must be password protected and limited to students in the ______ course, and must be deleted no later than ______________. ]
The copies will be used solely for nonprofit educational purposes in accord with the mission of NC State.
The copied material will not be sold.
This permission is non-exclusive, royalty-free (no cost to the University), world-wide, and perpetual.
All copies and displays of the Work by the University must credit ______________ as the creator of the Work, and must include full copyright information.
Agreed to By:
Copyright Owner signature: ___________________________
Date: _______________________________
Printed Name: ________________________________