OGI Library Thesis/Dissertation Submission Form

Follow the Thesis Flowchart before submitting thesis. Thesis must be approved by the Library before it is submitted. Both electronic copy and paper copy need to be submitted before the EPC committee meets.

Checklist for Electronic Dissertation:

______	PDF file has been submitted by email attachment to hydel@ohsu.edu.
______	PDF file has been submitted on CD-ROM along with paper copy.
______	Permission form for electronic publishing has been signed and is attached.

Checklist for Print Dissertation:

______	Library copy is 100% cotton paper.
______	Signature page of library copy has original signatures.
______	Blank fly leaf cotton paper pages are at front/back of library copy.
______	Copyright permission letters, if needed, are attached to this form.
______	Number of other print copies submitted. Enter disposition and binding color of these below.

Your name from thesis title page:

_________________________________________________________________________

Email Address| Telephone:

_________________________________________________________________________

Keywords (at least 3, preferably more) describing the content of your thesis/dissertation:

_________________________________________________________________________

Shipping Information for Print Copies

Domestic UPS shipping is $8.00/copy.
Library assumes no responsibility for theses once they are shipped.

Shipping ADDRESS:

Name:___________________________________________________________

Address:__________________________________________________________

_________________________________________________________________

_____ I will pick up.: Call /email me at________________________________

_____ Department secretary will handle distribution.: Call (name)____________________________; at ext. _________.

Binding Color Designation for Personal Print Copy(ies)

See http://www.thehfgroup.com/colorguide.htm for a list of available colors for your bound thesis. Please note that the colors as shown on the website are not accurate. Come by the library and we can show you actual bound volumes. The standard color for lettering on your thesis is gold, but you can elect to choose black or white lettering if desired.

Personal Copy(ies) Color No.:________________

Department Copy Color No.:_________________

Other Copy(ies) Color No.:___________________

Fee Information

Unless the student is requesting the library to bind personal or departmental copies or is submitting to UMI, there are no costs for thesis submission.

Binding Costs:
- $16.00 per copy for binding
Shipping of bound copies via UPS:
- $8.00/copy for delivery within continental U.S.
- Alaska, Hawaii, and overseas must be pre-arranged and prepaid
UMI Publishing:
- optional $55.00 UMI filing fee
- optional copyright registration fee through UMI: $65.00

Payments:

(May be on one check made payable to OGI. Do not include any payment for the library copy.)

Binding:	$__________
Shipping:	$__________
UMI Filing Fee:	$__________
UMI Copyright Fee:	$__________
Total:	$__________

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