Sample Release Form from Students

Course:________________________________________ Instructor____________________________

[Scholarship of Teaching] Project Title: ____________________________________________________

I, ______________, agree to allow my comments and material from work I submit for this course to be used for academic purposes by the investigators, including (but not limited to) such forums as presentation at conferences and publication in scholarly journals. The comments may be taken from evaluations, essays and papers, email correspondence, threaded discussion postings, and my participation in interviews or focus groups. The investigators may also use material from other work that I submit for this course, including homework, quizzes, assignments, and exams. I understand that my anonymity will be safeguarded in the process.

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Signature

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Date

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Note: This form is a modification of one prepared collaboratively by Terry Craig, Leslie Harris, and Robert Smith (click here to view) for their Spring 1995 English Composition classes as part of research funded by the Annenberg/CPB Higher Education Grants.