ࡱ> 241 9bjbj 7}c}c&99999MMM8M0vxxxxxx$'!#999F99vv 0aRb0,$($$9T$ : Course Title: Course Number: Term: Instructor: Course Release and Lecture Capture Consent Form To Whom It May Concern: I (the undersigned) understand and agree that comprehensive course materials including text, graphic designs, images, video and audio files will be collected and preserved and that I was made aware of this fact by the course instructor at the beginning of the term. I hereby grant to ˾ (the University) a non-exclusive license and right to use excerpts or portions of my audio or videotaped graded coursework (e.g., student presentation, small group discussion or comments in a seminar format) in which I am portrayed for educational or related purposes. I further understand that I will receive no money or remuneration of any kind from the University related to this consent and release, or the materials covered by this consent or release. I acknowledge that I do not have the right to inspect or approve any materials developed by the university as authorized below. This release and consent includes the right to: Make and copyright text, photographs, audio and/or video recordings of my image and voice as part of the Universitys lecture capture program. Use, produce, modify, distribute, and disseminate such materials and projects in any form, manner, or mode of electronic transmission for educational or related purposes. I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully understand the meaning and effect thereof. In the case of a child under the age of 18, I state that I am the parent, guardian, or otherwise legally authorized adult capable of giving consent on behalf of the minor child. (Students/guardians signature and date) (Students Printed Name) (Students University ID #)     {00008535-1}  2345DHX`e    ³{s{ks{`{X{PhyaCJaJh_(CJaJh>h_sSCJaJhQ#DCJaJhP5CJaJh>h-CJaJh]CJOJQJ\aJh>h_sSCJOJQJ\aJh>hm!CJOJQJ\aJh>hm!CJOJQJaJh>hm!CJaJh>hm!CJ\aJh>h_sS5CJ\aJhu5CJ\aJh>hm!5CJ\aJ&34ef~ 0 1 k l &d 7$8$H$P $ & F7$8$H$a$gdQ#D $7$8$H$a$gdQ#Dgdm!7$8$H$ 7$8$H$gdm! +   }    1 \ _ N j k l ǿݬǿǿ݁ǷvvnǿchhCJaJhfCJaJh>h>CJaJh8CJaJh>h_(CJaJhm!CJaJh XCJaJhc71CJaJh>h XCJaJhP5CJaJhCJaJh>hm!CJaJh>h_sSCJaJh_(CJaJh>h|]CJaJhyaCJaJh]CJaJ$ !"#$%/0123456789լ h]h]h]h]CJmHnHuh]h]<CJmHnHuh!6h]h)O0jh)O0Uh(`CJaJh>hm!CJaJhuCJaJ !"#$23456789gd]gd]7$8$H$50P/ =!"#$% Dp v2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontZiZ  Table Normal :V 4 l4a _H(k (No List 6U 6 Hyperlink >*B*phFV F FollowedHyperlink >*B* ph@@@ ]Header  H$ mHsHtHLO"L voheading$7$8$H$a$5OJQJ\aJ6/16 ] Header CharCJaJ@ @B@ ]Footer  H$ mHsHtH6/Q6 ] Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVq1u`X=:tڣf{Xx {dV=|kPo۵(h[x )IеnW[@;0PDbRy( "IROnVxCD' bJZ65I[adH+^D )>s=h ۟~7zWo^=[Qr||[?|̦ o{O=4?}}L$Xx%@|Ư'11%i$P,c[GD7sH5. 4kIƉZKTPBM HN7|nB#L7^`!\29pCH3nMb#$.'19b%+vJ~.!DI;DPz l 2I ͚;|y3+~Dؕjw0e1vdǪzO^I57y+d8bnv 4?6CK\M#= ċ(0'1 zxpWc/_X4/A_[)^&(fp[_NiK7@wd5= I?>q샏ꚝΡ5Ӵ>3m=͡|7;:۱&?8ټ<}9H}]Ru Vx~p{3AsP~\v!cZ 6JOw׃SB HfЖ gpj*4nR2BM} rfw[BfV= vͅh7/sɳ ̲B3뤓eH=J_:hn$O\ʧFn;/x.M#+d,W87+IwOťwF) uepwPϬ pV$2v Sv(C8L\~+l`k& Y iTU#p~XHYHeʹ,fͰ-;Y7XmM 9ͬYMm*/稺W(r2bUGڱ]]HYUcF8U~ۍZZnJmi}kn^l 9 !#%( 9 9 8@0(  B S  ?7:%17: HX++  QZTU\\{kk$0: HX++  TU\\{kk:6. 2&h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.6.          u8m!1*-)O0c71>#(y70<<_(P5f$ X!6|g]1p@9@UnknownG.[x Times New Roman5Symbol3. .Cx Arial7. [ @VerdanaA$BCambria Math"hUy'Uy'f  !r413QPvo2!xx >Lecture Capture Course Release and Consent Form (00008535).DOC 00008535-1Systems Debra Lohe Oh+'0 $4 HT t   @Lecture Capture Course Release and Consent Form (00008535).DOC 00008535-1SystemsNormal Debra Lohe2Microsoft Office Word@@@a@a ՜.+,0lx   K[Compatibility Mode]NCSU Libraries^  ?Lecture Capture Course Release and Consent Form (00008535).DOC Title  "#$%&'(*+,-./03Root Entry F 93a51Table$WordDocument7SummaryInformation(!DocumentSummaryInformation8)CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q