Northern Kentucky University ~ Faculty Policies and Procedures Handbook
Part Two: Faculty and University Policies
 
EXHIBIT C
 

Copyrights and Permissions Department
Publishing Company
Address
City, State, Zip Code
 

Dear Sir/Madam:

I would like permission to copy the following for (use in my class next semester) / (use in an anthology to be distributed to my class):

author, editor translator
file, edition, volume number of book or journal
copyright date
ISBN for books, ISSN for magazines and journals
material to be duplicated (pages, chapters, figures, and illustrations)
number of copies to be made
type of reprint (photocopy)
whether material will be used alone or combined with other materials
name of college or university
course name and number
semester and year in which material will be used
instructor's full name, address, and telephone number

I have enclosed a copy of this letter and a self-addressed, stamped envelope for your convenience in replying to this request.

Sincerely,

Faculty/Staff Member Signature

Permission granted:

Copyrights and Permissions Department      Date