Electronic Thesis and Dissertation Form

Form Purpose: This form is intended for Valdosta State University Graduate students who have completed their thesis or dissertation and want to place an electronic version in Vtext, an open access digital repository maintained by the Odum Library to collect, preserve, and distribute Valdosta State University's intellectual capital in ways not currently supported by traditional library and publication print models.

If you have any questions or concerns about your submission or encounter errors in the submission process, please contact the Vtext Management Committee at vtext-help@valdosta.edu . You may also call us at 229 333-7150.

* Required fields.

Date:

*Your Name as it is shown on your Graduate School records:

*Date of Graduation: (e.g., Summer 2008; Fall 2008)

*VSU Email: Daytime Phone: Best way to reach you:

*Degree: M. A. M. Ed. M. S. Ed. D. Ed. S. D. PA.

*VSU Major:

*Title of your manuscript. Enter the exact title of your thesis or dissertation. Use both upper and lower case (DO NOT USE ALL CAPS) and appropriate internal punctuation:

Enter at least one and up to 6 keywords or short phrases for citation indices, library cataloging, and database searching
*

I hereby certify that I have obtained and attached written permission statements from the owner(s) of each third party copyright material to be included in my thesis or dissertation, allowing distribution as specified below. I also certify that the version I have submitted is the same version that was approved by my advisory committee.

I hereby grant to Valdosta State University and its agents the non-exclusive 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. I retain all ownership rights to the copyright of the thesis or dissertation, including the right to use it in whole or in part in future works.

Please check one:

I authorize Valdosta State University to archive my electronic thesis or dissertation and to release the entire work immediately for access world wide.

I authorize Valdosta State University to limit access to only VSU faculty/staff/students with a valid log-in for a period indicated below for the reason stated, after which I authorize the release of the entire work immediately for access world-wide (some publishers may object, please check with your publisher).
6 months 1 year 18 months 2 years

Reason [optional]:

**Please consult with the V-text Management Committee (vtext-help@valdosta.edu) if you wish your thesis or dissertation to be limited in access for longer than the indicated period.

Attach File:

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Print this page for your records before submitting. In submitting this form your are authorizing the release and publishing of your electronic manuscript in Vtext (Valdosta State University) and the GALILEO Knowledge Repository (University System of Georgia).

Electronic Thesis & Dissertation Release Form