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Release Form for Reserve Use of Student Projects/Papers

I hereby waive my right to privacy provided to me by the Family Educational Rights and Privacy Act of 1974 (FERPA) by permitting the following paper:

Title or description of paper:_____________________________________

to be used by Professor:________________________________________

as an educational resource for use by other students. I grant permission for this paper to be available through the Murphy Library paper reserves/electronic reserves system for the time period

____/____/____ to ___/____/____ (enter dates)

OR

Indefinitely (Circle if this applies)

Signed: ____________________________________________

Name (please print): __________________________________

Date: ________________________

Permanent Address___________________________________

__________________________________________________

E-mail Address:______________________________________