Would you like to be part of the ESU database of Webquest, Excel, and Podcast/Vodcast projects? Your project(s) would then be available to all educators! Please fill out the following application, and be sure to attach your project(s). Please use one application per project. Please submit everything electronically to the address at the bottom of this page.Name:
Your contact information (email):
Title of Project:
Lesson Plan: (attach with project; be sure to include your name, grade level, and content area)
Brief Description:
Please also complete the following release form:
Intellectual Property/Creative Works Release Form
I, ________________________________ (print name), hereby grant to East Stroudsburg University permission to display and share electronically via the internet and in other informational displays the intellectual property/creative work (described in detail below) which was created or produced by me in conjunction with my participation in the Media and Communications Department course(s).
I also understand that East Stroudsburg University’s display and/or publication of my intellectual property/creative work on the internet and in other informational displays will subject it to enjoyment and use by the general public.
The materials and/or creative work which I hereby authorize East Stroudsburg University to display on the internet and use in other informational displays include lesson plans, Webquests, and Excel projects.
If any of the above-listed works and/or materials are displayed on the internet by the Pennsylvania Department of Education or used in other informational displays, then I would like the following credit to be used: _____________________________ (you may use your name, initials or a combination thereof, or indicate "no credit" if you do not want your name used at all).
Furthermore, I understand that the Pennsylvania Department of Education reserves the right to modify and/or censor my intellectual property/creative work in order to comply with any applicable laws and/or regulations and in order to ensure that all materials displayed on the internet and used in other informational displays are appropriate for viewing by the general public. Finally, I understand that I am entitled to no compensation from the Pennsylvania Department of Education and/or the Commonwealth of Pennsylvania for this release or for the display of my materials and/or works.
By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby.
Full Name: _____________________________________________________________________________
Home Address: ______________________________________________________________________________________ State: ______ Zip: __________
E-Mail Address: _____________________________________________________________________________
Signature: __________________________________________Date______________________
(please print name)
(email to Jenny Collins at jenden@ptd.net or jcollins@esu.edu)
