Texas Woman S University

TEXAS WOMAN’S UNIVERSITY-GRADUATE SCHOOL

DISSERTATION/THESIS RELEASE FORM

This form should be completed and submitted to the Graduate School along with the required copies of the thesis or dissertation.

DATE:
NAME:

Last First Email

ADDRESS:

P.O. Box or Street Address City State ZIP Code

TELEPHONE (Where you can be contacted about corrections or revisions, if necessary):
DEGREE SOUGHT: / MAJOR:
CHECK ONE: THESIS OR DISSERTATION
TITLE:
NUMBER OF PAGES: (Including title page, signature page, Roman numbered pages, etc.)
MANUAL OF STYLE: Turabian APA Other (Please specify):
COMMITTEE CHAIRPERSON:

Copyright ownership of theses and dissertations is retained by the student, but the student must grant to TWU royalty-free permission to reproduce and publicly distribute copies of the thesis or dissertation. In circumstances where the research for the thesis or dissertation has been done in conjunction with other policies discussed in the Texas Woman’s University Policy on Intellectual Property, those policies will apply with regard to the students.

Student Signature Date

Indicate below the name, address, and telephone number of any person you authorize to pick up your paper for correction, revision, and/or duplication. Only persons you authorize in writing on this form will be allowed to pick up your paper.

(Do not write below this line.)

Review in Graduate School

Date Received Number of Copies

Date Reviewed

Decision: Accepted

Returned for correction

Request for conference

Notification

Released to:

(Signature) (Date)

Remarks:

In accordance with Leg. HB 1922, an individual is entitled to: request to be informed about the information collected about them; receive and review their information; and correct any incorrect information.