Faculty may request single semester permission for the use of copyrighted materials in coursepacks. See the Wellesley College Copyright Policy for more complete information on coursepacks. The permission granting process usually involves payment of royalties by the instructor's department. Since royalty charges depend on the number of coursepacks actually distributed, the instructor will be asked to complete a final checklist for confirmation. To request permission for use of copyrighted materials, complete this entire form for each item in your coursepack. For further assitance call 283-2804.
Copyright Permissions for Coursepacks

Permission request for using copyrighted materials
starred (*) information is required.

*Instructor's name:

*Semester(s):
*Course number:
*Number of sets needed:
*4-digit budget number:
For use of more than one item, please advance the item number each time you complete this form: *item
Book / Journal title*
 Chapter / Article title*
Author / Editor / Translator of above*

Publisher / Copyright holder name*

Publication or Copyright year*
Vol. / No. / Date (if applicable*)

Edition number (if applicable*)

First page number of material needed*

ISBN or ISSN (if known)

Last page number of material needed*

Is it out-of-print ?
yes or no or not sure

If you would like a receipt of this request, please print this completed form before submitting it.
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