Student Writing Consent Form Writing Program teachers seek your consent for the use of your writing for the purposes of professional development, teacher training, and classroom instruction within the Syracuse University Writing Program. This means that teachers may only use your writing to help foster knowledge about writing instruction and practices. Some examples of the use of student writing may include the development of writing assignments and the modeling of effective writing and evaluation practices. This form does not authorize the use of student writing for research or publication. Signing this form means that you consent to the use of your writing in the Syracuse University Writing Program. Granting consent or not will in no way affect your grade in this class. Course Name & Number:_________________________ Semester:__________________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________ Print Name:_______________________________________________________________ Signature:_____________________________________________ Date:_______________