PHOTOCOPIED COURSE MATERIAL APPROVAL

PART I

Before this store can accept photocopied course material, the following approvals must be obtained:

Title of Material: ____________________________________________________

Faculty Member: ____________________________________________________

Approved by: _________________________________ ________________

Department Head Date

_________________________________ ________________

Dean / Director Date

In addition, if copyrighted material is contained a Copyright Infringement Release also must be

Completed. (See Part II)

PART II

COPYRIGHT INFRINGEMENT RELEASE

Before this store can accept photocopies of copyrighted materials from faculty members for resale to their students, the faculty member presenting the materials must complete the form set forth below and sign and date the completed form.

I, _________________________, a member of the faculty of ITHACA COLLEGE have delivered to the Ithaca College Bookstore for resale to students in course # _________________

certain photocopies of copyrighted materials (entitled) (excerpted from) __________________.

I certify that each of these photocopies contains a page on which a notice of the copyright appears.

(To be answered by the Faculty Member)

1. Have you obtained from the publisher permission to make multiple copies of the copyrighted materials you have requested this store to sell to your students?

_______ YES ______ NO

2. I, __________________________, do hereby agree to hold harmless ITHACA COLLEGE BOOKSTORE and to indemnify it from any claim, liability, expenses, damages, or costs of any nature incurred in connection with a charge of copyright infringement arising out of the store’s selling the copyrighted materials described above in accordance with my request.

_______________________________________ _______________

(Signature) (Dated)

9/2003