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| Note: These templates are copyright
free for use in schools |
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Copyright
outline in Word format.
Click to open the document, then save it to your hard
drive. |
A form for students to grant permission to the school
to publish their work outside the classroom
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STUDENT COPYRIGHT PERMISSION FORM
Name of School
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Author of Copyright Material:
(First Name Last Name)
(e.g. story, artwork, photograph, video, PowerPoint,
etc)
Class: (Year Level) Teacher:
(Teacher’s Name)
Title/Description of Copyright Material:
(Brief Description and Title)
I, (First Name Last Name) the author and
copyright owner of the above copyright material,
grant to (School Name) School the right to
publish this copyright material in the insert places
it will be published (newsletter, school website,
year book, local newspaper).
SIGNED:
Copyright Owner’s Signature (Usual
Signature)
Witness (parent/guardian/s) (Usual Signature)
Witness (parent/guardian/s) (Usual Signature)
Date: (Day Month Year)
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Picture
outline in Word format.
Click to open the document, then save it to your hard
drive. |
A template that students open and fill in by copying and
pasting whenever they select a picture from a website
to use in their work
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PROJECT TITLE
FOCUS QUESTION:
| My picture I
collected from the Internet |
Why I think
the picture represents my topic |
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| Title of picture:
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Page URL
for my picture:
[copy and paste
from address bar] |
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| Photographer:
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Copyright
Information:
Put ‘yes’ in the box that best
matches what you found out |
I
want to use this picture for my PowerPoint
presentation and/or on my Internet Web page.The
copyright conditions on the website allow
me to do this as long as I acknowledge the
photographer. |
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| I
want to use this picture for my PowerPoint
presentation and/or on my Internet Web page.
I have to contact the copyright owner for
permission to use it. |
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| Copyright
Owner’s Contact Details: |
| Date
I asked for permission: |
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Date
I received permission: |
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My Name and Class:
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Simple
Text outline in Word format.
Click to open the document, then save it to your hard
drive. |
A template that students open and fill in by copying and
pasting whenever they select text from a single website
to use in their work
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PROJECT TITLE
FOCUS QUESTION:
| The
information I copied to help me answer my
focus question |
My
answer to my focus question |
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| Author:
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| Title: |
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Page
URL:
[copy and
paste from address bar] |
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| Copyright
date: |
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Date I accessed the page: |
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My Name and Class:
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Complex
Text outline in Word format.
Click to open the document, then save it to your hard
drive. |
A template that students open and fill in by copying and
pasting whenever they select text from multiple websites
to use in their work
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PROJECT TITLE
FOCUS QUESTION:
| The
information I copied to help me answer my
focus question |
My
answer to my focus question |
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| Author:
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| Title: |
| Page
URL: |
| Copyright
date: |
| Date I accessed
the page: |
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| The
information I copied to help me answer my
focus question |
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| Author:
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| Title: |
| Page
URL: |
| Copyright
date: |
| Date I accessed
the page: |
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| The
information I copied to help me answer my
focus question |
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| Author:
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| Title: |
| Page
URL: |
| Copyright
date: |
| Date I accessed
the page: |
My Name and Class:
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Email
outline in Word format.
Click to open the document, then save it to your hard
drive. |
An email outline requesting permission to use images from
the Internet
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Subject line: Copyright
permission to use (name of item)
Body of email:
Dear (name),
I am a student at (name of school).
I have found your website very useful in my research
on (your research topic) and would like to use (describe
the item and give the URL < >) in the presentation
of my work. I will be using the (item) on a (webpage/PowerPoint)
to (Describe how you will use the item).
Do you hold the copyright on this (item)? If you
hold the copyright, may I have your permission to
use your (item) in this way?
If you grant permission to copy this (item), I will
properly reference your ownership as:
‘(Name of item) used with permission of (name
of copyright owner), <URL>, date.’
I need to have your answer by (date – give
the person at least 1 week).
Thankyou for your help,
Name
School
Postal address
Email address
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Note:
1. This outline can be used by students when they want
to reproduce an image or photograph from a website and
put it into a webpage, PowerPoint presentation or some
other format that will be available outside the school.
2. Students at various levels should compose a letter
based on this format that is suited to their language
and understanding. |
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Jill Midolo and Sue Scott, Curriculum
Materials Information Services, Department of Education
and Training, Western Australia |
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