University of Rochester: Research Authorization Form

Instructions for Electronic Dissertation UR Research Authorization Form

Please note there is a ProQuest Embargo Process that you complete upon ProQuest submission and the University of Rochester Embargo process that is completed with the form below.

Permission for or Removal of Copyrighted Material(s): Written permission is required from the copyright owners of material you may have used in your work that does not fall under the guidelines of fair use. (Click here to see the University's guidelines regarding fair use.) This might be content taken from articles, books, web pages, music, poetry and lyrics, sound recordings, etc. The owner of the copyrighted material may be the author or the publisher. In addition, if you signed over copyright for papers you’ve authored to the publisher, you may need written permission to include your own papers in your dissertation. Proquest/UMI also requires you to submit permission letters allowing distribution of third party copyrighted materials.

If you are not able to obtain written permission to include copyrighted materials in your dissertation, the materials should be removed from the dissertation, placed in an appendix that will be restricted from public view, and provided to the UR Graduate Education Office. If transmission through email/PDF is not possible, please email to discuss means of transmission to the office.

Removal of Proprietary and Confidential Information: University of Rochester Medical Center authors are expected to conform to the American Society of Microbiology’s Code of Ethics and use their knowledge and skills to advance human welfare and discourage the misuse of scientific information.

If there is proprietary or confidential information in your dissertation, such as industry trade secrets or studies using a reagent obtained under the Material Transfer Agreement (MTA- Powerpoint) with restrictions on publishing, the information should be removed from the dissertation, placed in an appendix that will be restricted from public view, and provided to the UR Graduate Studies Office on a CD or flash drive. Text should be in PDF format.

Limiting Access to Protect Your Ability to Publish: Some publishers may consider worldwide access to your dissertation on UR Research to be prior publication of the work. If your dissertation includes chapters or data that you plan to publish in the future, you should opt to restrict access to the University of Rochester community only, which this form permits for up to 2 years after the date your degree is awarded by the Trustees. Extensions of the UR-only restriction in order to delay worldwide access are permitted in some circumstances on request to the University Dean of Graduate Studies.

The option of a complete embargo (blocking access to anyone, including those within UR) is limited to 3 months. Use this option if your dissertation contains new information that could lead to a commercially viable invention. It will be completely embargoed for a 3-month period after the date your degree is awarded by the Trustees, during which time you can submit an Invention Disclosure Form to URVentures, the University's technology transfer office, which will review your invention for potential patent protection.

Additional Information: Questions about UR Research can be sent to urresearch-help@rochester.edu or contact the UR Research representative for your campus:

Angela Grunzweig: River Campus Library,
James Farrington : Sibley Music Library
Jennifer McCarthy: URMC Library

Additional questions about intellectual property can be sent to URVentures:

URVentures

Initial Steps

If your dissertation contains previously copyrighted material, have you attached permission letters for its use, or moved the copyrighted material to an appendix and provided electronic copies of the appendix to the UR Graduate Studies Office?

Have you and your faculty advisor reviewed your dissertation for trade-protected information, moved any such information to an appendix, and provided electronic copies of that appendix to the UR Graduate Studies Office?

Have you and your faculty advisor reviewed your dissertation for information that could lead to a commercially viable invention or other intellectual property and filed an Invention Disclosure Form with the Office of Technology Transfer if appropriate?

If you plan to publish chapters or data in the future, have you chosen to restrict access to your dissertation for up to two years after the date your degree is awarded by the Trustees?

Student Name: This should be identical to the name on your dissertation title page.

First Name

Middle Name

Last Name

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

School

Program

Faculty Advisor

Additional Information

Keywords: The words in your title or abstract will be used as sources of keywords. You do not need to list those here, but you may provide additional keywords to enhance retrieval of your dissertation in the UR system.

ORCID Number: Your ORCID iD is a 16-digit unique, open digital identifier that distinguishes you from every other researcher with the same or a similar name to you. Your ORCID iD number is visible to everyone, displayed on your ORCID record below your name. Click here if you have forgotten your ORCID iD number.

Format should match: 0000-1111-2222-3333

ProQuest ID #: This is a 5 digit number assigned when you create an account on the ProQuest system for your completed dissertation.

Dissertation Title

Supporting Grants: List all grantors and corresponding grant numbers that supported the research described in your dissertation.

Consent

Part A: Copyrighted and Confidential Material

I hereby certify that, if appropriate, I have obtained and attached written permission statements from the owner(s) of each third party copyrighted material included in my dissertation, allowing distribution as specified below.

If I have been unable to obtain written permission statements for any third party copyrighted materials, the materials have been removed from the text of my dissertation, placed in an appendix that will be restricted from public view, and I have provided it to the UR Graduate Education Office. Click here to email the appendices that should be restricted from public view because they contain copyrighted materials.

Part B: Access

I hereby grant to the University of Rochester and its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my dissertation in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the dissertation. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation.

In addition to the unrestricted display of the bibliographic information and the abstract, I agree that the above-mentioned document be placed in the UR Research digital repository at https://urresearch.rochester.edu with the following status.

After the limited release period ends, the work will be available worldwide. A request to extend the embargo beyond your initial choice below must be approved by the University Dean of Graduate Education

The options below are ranked from least restrictive to most restrictive.

Following the three-month period of restricted access, the work will be:

Sign or initial to confirm selections

Date of electronic signature

Additional Comments (not required field)