PERMISSION TO USE COPYRIGHTED MATERIAL IN A THESIS
Emily Carr University Library
520 East 1st Avenue, Vancouver, BC, V5T 0H2

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NOTE TO STUDENT: If there are more than two items for a single copyright holder, please use additional forms and obtain
signatures on all forms. This form grants permission to include the thesis in the Emily Carr University of Art + Design Library
collection, in online format. You are responsible for obtaining any additional permissions, which may be required for any
other use of the copyrighted material, including published on any other website or in any publication.
I am a graduate student at the Emily Carr University of Art + Design (ECU) and I'm preparing my final thesis. I am
requesting permission to include excerpt(s) and/or images from your publication and/or work, as described below.
The source(s) of the included material will be fully identified in the thesis. The thesis will be available online in its
entirety through eCollections at Emily Carr (the university online institutional repository), Library and Archives
Canada, and indexed through databases such as Google Scholar. The non-exclusive, royalty-free licenses I will grant to
the ECU Library can be found here.
THESIS TITLE

YEAR

ECU DEGREE
PERMISSION IS
HEREBY GRANTED TO
(author of thesis)
and Emily Carr University of Art + Design, and Library and Archives Canada, to reproduce the following in the thesis:

1) TITLE OF IMAGE/ARTICLE/BOOK
FIGURE, PAGE NUMBER, URL
JOURNAL NAME, YEAR, VOL.,
OR BOOK PLACE, PUBLISHER,
YEAR

2) TITLE OF IMAGE/ARTICLE/BOOK

FIGURE, PAGE NUMBER, URL
JOURNAL NAME, YEAR, VOL.,
OR BOOK PLACE, PUBLISHER,
YEAR

As copyright holder or representative of the copyright holder(s), the undersigned is aware that the author of the thesis will be
granting irrevocable non-exclusive licenses to the Emily Carr University Library and agrees to the terms of these licenses.
SIGNATURE OF COPYRIGHT HOLDER
OR REPRESENTATIVE

PRINTED NAME

ADDRESS

DATE (YY-MM-DD)