Permission to Share Written Work

Course # Instructor(s): _________________________________________________________   

Title of Written Work: __________________________________________________________

Semester / Year: ______________

Sharing Conditions

Please specify the conditions under which you would like the work you have helped to compose to in this course to be shared or recirculated. For materials produced by a group, the most restricted license chosen by a member of the group will apply. In other words, if two group members choose a CC0 license (the most open license) and one chooses CC-BY-SA (a more restricted license), the group resource will be shared under the CC-BY-SA license.

_____  (CC0) - In general, future readers may treat the resource as if it were in the public domain. They can share the work, adapt or remix the text, and circulate the work as they see fit. They need not include an attribution statement that gives credit to the original creators.

_____  (CC BY) - Future readers can adopt or adapt this resource for personal, educational, or commercial purposes. If other users share or adapt this work, they must provide an attribution statement that gives credit to the original content’s author/creator(s).

_____  (CC BY-SA) - Others can adopt or adapt this resource for personal, educational, or commercial purposes. If other users share or adapt this work, they must agree to license the new derivative versions of the resource that they create under CC BY-SA as well.

_____  (CC BY-NC) - Other users must only share this work if they are doing so for non-commercial purposes. They must provide an attribution statement.

_____  (CC BY-ND) - Attribution required; no derivative works (adaptations) are permitted.

Author Credit Preferences

_____  Include my name

_____  Replace my name with a pseudonym

_____  Remove my name from the content I have helped create but publish the content

Your signature indicates that you have read this consent form, had an opportunity to ask any questions about your participation, and voluntarily consent to participate.

Name of Participant (please print): _______________________________________________

Signature: _______________________________________________

Date: _______________________________________________