I/we, the undersigned, in consideration of the publication in ________________________________ of the contribution entitled __________________________________________________________________ by
_________________________________________________________________________(names of all authors), declare that the above entitled article/paper submitted for publication as referenced above is original and that I/we, as author and/or coauthor, are the sole owner or co-owners of the contribution and hold the entire and exclusive copyright of the material.
I/we warrant that I/we have full power to make this agreement, and that the contribution does not contain any libelous matter or infringe on any existing copyright. I/we further warrant that any items within the contribution are copyrighted, permission to include those items has been obtained from the copyright holder, including any audio or video material, to use those items for this purpose. I/we further warrant that the appropriate acknowledgement has been made to the original source, and that in the case of audio or video material, appropriate releases have been obtained from persons whose voices or likenesses are represented therein. I/we attach copies of all relevant permission and release correspondence.
I/we hereby assign and transfer to Texas Southern University (“University”) full copyright in all formats and media in said contribution, including in any supplementary materials that I/we may author.
This assignment is an irrevocable, paid-up, worldwide license to use, reproduce, distribute, or modify the article in its entirety or portions thereof as University deems necessary and/or appropriate.
I/we authorize University to grant a limited license to third-party requesters to publish and distribute the contribution with the restriction that the third party cannot further transfer any publication and distribution rights. A reasonable attempt must be made to give notice to me or the individual designated below at the address, telephone number or e-mail address provided below if a limited license is granted to a third party. University will inform any third-party licensee that it must include a copyright notice indicating ownership by me and/or my coauthors when publishing the contribution.
I/we agree that my/our name, likeness, and biographical material, including affiliations, may be used in connection with and promotion of the work.
I/we agree that all right, title, and interest in and to any commercially valuable copyrightable works or authorship made, whether solely or jointly, while employed or sponsored by or through the
University shall be governed by the Intellectual Property Policies of the University, and if so directed by said Policies, shall belong exclusively to the University. I/we agree to execute such further documents, including assignments and/or declarations, that the University shall reasonably require in order for the
University to secure and enforce its rights in said work.
This agreement shall be binding on my/our heirs, successors, assigns.
I/we warrant that I/we have authority to execute this agreement.
Texas.
This agreement shall be construed and interpreted in accordance with the laws of the State of
Office of General Counsel
Copyright Assignment/Release Form
TSUOGC-S-0910-036
Page 1 of 2
Rev. 09-2010

This agreement cannot be amended, modified or changed except in a written document signed by me/us and the University.
Notwithstanding the above, I understand and agree that if I am a federal government employee and the contribution was authored by me/us in whole or in part in the course of my/our federal employment or as a part of my/our federal duties, the article will be dedicated to the public domain under the Copyright Act.
Check box only if applicable
I /we certify that the contribution WAS NOT created by me/us in whole or in part in the course of my/our federal employment or as a part of my/our duties as a federal government employee.
Signed (check one)(together must represent 100 percent ownership of copyright):
the sole author(s)
one author authorized to execute this transfer on behalf of all the authors of the above contribution
Name: ________________________________________ Date: __________________________
Company: ______________________________________ Phone: _________________________
Signature: ______________________________________ E-mail: __________________________
Name: ________________________________________ Date: __________________________
Company: ______________________________________ Phone: _________________________
Signature: ______________________________________ E-mail: __________________________
Requests received by University for permission to reprint the contribution should be sent to:
Name: ________________________________________ Phone: _________________________________
Address: __________________________________________________________________________________
E-mail Address: ______________________________________
Return this form to the following address for approval:
Texas Southern University c/o Office of General Counsel
3100 Cleburne Street
Hannah Hall, Room 310
Houston, TX 77004
Note: Modification of this Form requires approval by the Office of General Counsel.
Office of General Counsel
Copyright Assignment/Release Form
TSUOGC-S-0910-036
Page 2 of 2
Rev. 09-2010