Permission to Publish Form
Journal of Undergraduate Research and Scholarly Excellence
Please send your submission and this form to the managing editor at [email protected].
Student Information
Name ____________________________________
Major______________________________________
Class Standing __________________________
University/College____________________________________________________________________
Mailing Address______________________________________________________________________
City _________________________ State/Country _______________________ Zip/Postal ___________
Permanent Address____________________________________________________________________
City _________________________ State/Country _______________________ Zip/Postal ___________
Phone ___________________ E-mail _____________________________
Description of Submitted Work
Title ___________________________________________________________________
Byline __________________________________________________________________
Example Byline: By Author Name, John Smith, MS, and Jane Doe, PhD
Colorado State University
Word/Page Count __________
Category:
£ Art
£ Health Sciences
£ Creative Writing £ History
£ Editorial
£ Literature
£ Natural Sciences
£ Social Sciences
£ Other (explain) _______________
Principal Investigator/Mentor (if applicable)
Title (Professor, Dr., Mr., Mrs., Ms.) ____________________________________________________
Mailing Address ____________________________________________________________________
Telephone ____________________________ E-mail ______________________________________
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Funding Information
Describe any source(s) of funding for the Author that may be relevant, including funding for the
research being reported.
____________________________________________________________________________________
____________________________________________________________________________________
Author Demographics (Optional)
Gender:
£ Male
£ Female
£ Gender neutral
£ Prefer not to answer
Ethnicity:
£ White/Caucasian
£ African American
£ Asian/Pacific Islander
£ Hispanic or Latino
£ Native American or
American Indian
£ Prefer not to answer
Age:
£ Under 17 years old
£ 18-27 years old
£ 28-37 years old
£ 38-47 years old
£ 48-57 years old
£ 58 years or older
£ Prefer not to answer
Marital Status:
£ Single, never married
£ Married or domestic partners
£ Widowed
£ Divorced
£ Separated
£ Prefer not to answer
Employment Status:
£ Employed for wages
£ Self-employed
£ Out of work and looking for
work
£ Out of work but not
currently looking for work
£ A homemaker
£ A student
£ Military
£ Retired
£ Unable to work
£ Prefer not to answer
How did you hear about us?
£ Friend/Family
£ Poster on Campus
£ JUR Event
£ Involvement Fair
£ Other:__________________
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Terms and Conditions of Publication
1.
The Journal for Undergraduate Research and Scholarly Excellence (JUR) exercises the
sole and absolute discretion to choose which Submitted Work shall be published. The Author and
any Co-Author (hereinafter, “Author” includes any and all Authors and Co-Authors) understand that
no promise or representation has been made by JUR that it will publish the Submitted Work, but it
may do so at its discretion. The Author acknowledges that JUR’s receipt of a Submitted Work does
not guarantee the Submitted Work will be published. Submissions not accepted for a current issue
may be included in a later one.
2.
The Author grants JUR the exclusive, worldwide permission to publish, reproduce, and
distribute copies, reprints, and duplications of the Submitted Work in whole or in part, in any format
or media, written or electronic, including but not limited to electronic media such as the internet,
including the JUR’s website. The Author grants JUR the right to edit, re-write, and reorganize the
Submitted Work as necessary. The copyrights to the Submitted Work are retained by the Author.
Unless the Submitted Work is rejected for publication in writing by JUR, the Author shall not
publish the Submitted Work, whether in whole or in part or abridged or derivative versions, in any
other media and shall not submit the Submitted Work to any other publications.
3.
The Author represents, warrants and attests that the Submitted Work is an original
creation of the Author(s) listed above, and that the Submitted Work is not under review and has not
been previously assigned or published by any other publication. The Author further declares that the
Author has the right and power to convey the rights conveyed herein, and that there are no
contractual or other constraints on publishing the Submitted Work or the research being reported.
4.
The Author represents and warrants that the Submitted Work does not contain any
unlawful statements and does not infringe on any existing copyright, trademark, right of publicity or
privacy, or any other third party right, and does not constitute the defamation or libel of any person,
entity or product. The Author shall be solely responsible for the content of the Submitted Work and
shall indemnify, defend and hold harmless JUR, Colorado State University, its governing board,
employees, and agents from any liability arising from the publication of the Submitted Work.
5.
The Author represents and warrants that the necessary permission has been obtained from
the copyright holders to reproduce in the Submitted Work any materials including tables, diagrams,
video or photographs not owned by the Author.
6.
The Author represents and warrants that the necessary permission to publish the
Submitted Work has been obtained from any principal investigator, mentor or faculty advisor.
7.
The Author represents and warrants that all relevant ethical safeguards have been met
concerning any experimentation by the Author referenced in the Submitted Work.
8.
The Author understands that no financial compensation shall be provided for the
publication of the Submitted Work by JUR.
9.
This Permission to Publish Form is governed by the laws of the State of Colorado,
without regard to the conflict of laws provision thereof. This Permission to Publish Form shall
constitute the final, complete, entire and exclusive understanding of the parties and shall supersede
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all prior or contemporaneous agreements, discussions, representations, and understandings, whether
oral or written, between the parties respecting the subject matter hereof and cannot be amended,
modified, waived, or discharged except in writing signed by both parties.
10.
Colorado State University is a state government institution governed by the Colorado
Governmental Immunity Act, C.R.S. § 24-10-101, et seq. (the “Act”). Notwithstanding any other
provision of this Permission to Publish Form to the contrary, no term or condition herein shall be
construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits,
protection, or other provisions of the Act, as now or hereafter amended. The Author understands
and agrees that liability for claims for injuries to persons or property arising out of negligence of the
State of Colorado, its departments, institutions, agencies, boards, officials, and employees is
controlled and limited by the provisions of the Act, as now or hereafter amended, which provisions
are hereby incorporated and made a part of this Agreement.
11.
Submitted Work must be submitted online to the JUR website jur.colostate.edu. If
possible, please include a short biographical sketch.
Consent
The Author must approve the submission of the Submitted Work. Additionally, research carried out in
collaboration with professors and other students necessitates that all authors approve the submission of
the Submitted Work. All authors, co-authors, principal investigators and any other relevant parties with
claims to the intellectual property of the Submitted Work are required to indicate their consent for the
Author to publish the Submitted Work in the JUR.
By signing below and submitting this Permission to Publish Form to the Journal for Research and
Scholarly Excellence, the Author acknowledges and agrees to the above Terms and Conditions and
attests to the accuracy of the information contained herein.
Author Signature _________________________________________ Date ______________________
Author Signature _________________________________________ Date ______________________
As a principal investigator/mentor, I hereby declare that I have read this Permission to Publish Form and
grant the Author my full permission to submit the Article to JUR. I hereby approve the Submitted Work
and the research contained therein, and authorize its publication in the JUR.
Principal Investigator/Mentor Signature ________________________________ Date ____________
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