Special Collections Use and Publication
Name
Name
*
First
Last
Email
*
Institution (if applicable)
Product
*
Product
Article
Book/EBook (including chapters)
Broadcast
Digital Broadcast
Dissertation
Exhibit
HBS Case
Presentation
Thesis
Website/Digital Display
Other
Other
Baker collections/titles/items referenced in the product
*
Title of Product (if product is a part of a larger project, such as an article or chapter, please provide title of both products)
*
Print Run
Language/s
Publisher/Producer
Anticipated Date of Publication/Launch and Duration of Use
*
Distribution (North America, Single Country [please specify], Worldwide)
Additional details/comments or questions
Acknowledgement of use terms
*
Acknowledgement of use terms
Baker Library does not hold the copyright to most of the materials in its collections and, hence, cannot grant or deny permission to use them.
Submission of this form does not signify permission to use from Baker Library.
Responsibility for determining the copyright status of any materials and obtaining any necessary permissions for the intended uses rests solely with users.