CoxWorks Institutional Repository CoxWorks Submission Form This form should be used to submit items to the CoxHealth institutional repository, CoxWorks. Please contact Library Services with questions.The following author profile information will be publicly displayed in the catalog record for each item. Additional information collected is for library use only and will remain confidential.NameJob TitleAffiliationType of workTitle of workEvent nameDate of eventCo-AuthorsPlease note: All authors must submit this form separately. * Required Fields Date: * Example Format: MM/DD/YYYY Name: * Job Title: Affiliation (College, Department, Organization etc.): Type of work: * Article Capstone Project Conference Presentation Dissertation Poster Presentation Thesis Title of work: * Event name (if applicable): Date of event (if applicable): Example Format: MM/DD/YYYY Co-Authors (Each co-author must complete and submit a CoxWorks Submission Form providing permission for their work to be added to the repository.): Cox E-Mail or Affiliate E-mail address: * Work Phone: * Work Address: Home address: Personal Phone: Personal E-mail address: Author Agreements and Release: * Please select each checkbox to indicate understanding and agreement of the following statements: The submitted work is my original work and I have full power to enter into this agreement. This work does not infringe on the copyright or property right of another and I have secured any permissions that may be required. This encompasses the text of the work as well as any images tables graphs charts or other visual pieces included in the work. With the exception of works created as a part of my employment with CoxHealth or Cox College or other work-for-hire projects I retain all other ownership rights to the copyright of this work by virtue of being its author. Copyright of this work remains in my name and I reserve all other rights. I understand that there are no restrictions in depositing my work to another institutional or disciplinary repository. Author Agreements and Release - continued: * Please select each checkbox to indicate understanding and agreement of the following statements: To allow CoxHealth Library Services the non-exclusive license to archive and make accessible online in electronic format the submitted work and to market it or any part of it as it sees fit including distribution through third-party database aggregators. This work contains no material which is obscene libelous defamatory or violates another's civil right right of privacy or is otherwise unlawful. I shall indemnify and hold of any such warranties. Library Services reserves the right to remove materials when required by CoxHealth Legal Counsel or as deemed appropriate by the IR Advisory Council. I understand that I may request for submitted items to be removed from CoxWorks by completing the CoxWorks Request for Removal form or by emailing Library@coxhealth.com to request this form. For works with multiple authors each author must submit the CoxWorks Request for Removal form before items may be withdrawn. Exceptions may be made on a case-by-case basis. Upload work to be submitted (Only one author is required to upload works with multiple authors): leave this field blank to prove your humanity