Name*Affiliation and PositionAddress*Street address, P.O. box, company name, c/o, etc.Address 2Flatt, suite, unit, building, floor, etc.CityState/Province/RegionZIP/Postal CodeCountryIf outside U.S.Email Address*PhoneIntended UsePrivate (personal research and will not be copied, reproduced or publicly displayed)Public (materials intended for reproduction and/or publication)Author/Director/ProducerTitle of Work/PublicationPublisher/DistributorType of Publication (article, book, film, etc.)Expected Publication DateDistribution (number of copies, market, etc.)Items Requested Format of items requested (hard copy, scan [300 dpi JPEG only], digital file, etc.)Conditions of Use All requests to use materials from the Mount Carmel Archives, including but not limited to, photographs, graphics, tapes, digital files, etc., must be submitted on this application form. The applicant agrees to abide by all terms, conditions and provisions of this agreement. The Mount Carmel Archives does not claim to control the copyright for all materials in its holdings. The requestor and/or publishing party is solely responsible for determining whether its use is fair, locating the copyright holder, obtaining permission from the copyright holder and for responding to any claims that may arise from the use of the material. The Mount Carmel Archives has limited or no information concerning the existence and/or whereabouts of copyright holders who are not members of the Sisters of Charity of the Blessed Virgin Mary. By using materials from the Mount Carmel Archives, you agree and warrant that your use will not violate the rights of the Mount Carmel Archives or any other person or entity. Unless special permission is granted, all copies will be made by staff of the Mount Carmel Archives. Researchers are prohibited from taking photos of archival material or of staff and researchers in the Mount Carmel Archives. Permission for reproduction is granted only when this application is countersigned by a representative of the Mount Carmel Archives. Permission for reproduction is limited to the applicant and is non-transferable. Permission for reproduction is granted only for the expressed purpose described in this application and documentation accompanying it. This permission is non-exclusive; the Mount Carmel Archives reserves the right to reproduce images within its collections and to authorize others to do so. Materials may not be copied, scanned, exhibited, resold, placed on the internet, or deposited in another library, archives or other repository. Unless approved in advance, material must be reproduced unaltered and in its entirety; materials must not be cropped, overprinted, printed on color stock, or bleed off the page. Any subsequent use constitutes a reuse and requires reapplication for permission in writing from the Mount Carmel Archives. Any change in use from that stated in this application requires Mount Carmel Archives authorization. Mount Carmel Archives reserves the right to refuse reproduction of its holdings and to impose such conditions as the archivist may deem advisable, such as when the project is deemed excessively frivolous or unethical and/or when it will reflect inappropriately on the Mount Carmel Archives, the Sisters of Charity of the Blessed Virgin Mary, other women religious, the donor, or the subject of the material. Reproduction will also be refused when specified by a donor agreement. All projects covered by this agreement must include the Mount Carmel Archives in a caption or credit. The preferred citation is: Used with permission of Mount Carmel Archives of the Sisters of Charity of the Blessed Virgin Mary, Dubuque, Iowa. Mount Carmel Archives may also require that the artist or photographer and the title of the work appear in the caption or credit as well. This credit must be placed in a visible location near a photograph, unaltered and legible. In the case of a motion picture or television program, the credit line must be listed at the end of a production. Scans of materials will be provided as JPEG files at a resolution of 300 dpi. At the discretion of the archivist, higher quality scans and/or different file formats may be provided. The Mount Carmel Archives reserves the right to examine projects for accuracy and sensitivity prior to publication or distribution with the right to propose revisions if necessary. This repository reserves the right to refuse any request and to impose such conditions as it may deem advisable in the best interests of the Mount Carmel Archives. The Mount Carmel Archives must be given one complimentary copy of any published work, included book, periodical, dvd, cd or any other medium in which the photograph(s) is used. If the material is used on a website, the URL must be provided and, if the website is behind a paywall, the Mount Carmel Archives must be given complimentary access to it. There is no charge for materials sent via e-mail. If material is sent through the U.S. Post Office or commercial carrier such as UPS or FedEx, a free-will donation to the Mount Carmel Archives is requested to cover shipping costs. The copyright law of the United States (Title 17, USC) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, archives and libraries are authorized to furnish a photocopy or reproduction. One of these specified conditions is that the photocopy or reproduction is not to be “used for any purpose other than private study, scholarship or research.” If a use makes a request for, or later uses, a photocopy or reproduction for purposes in excess of “fair use,” that user may be liable for copyright infringement. Mount Carmel Archives will refuse a request if, in the judgment of the archivist, fulfillment of the request would involve violation of copyright law. 37 CFR s. 201.14I accept personally and on behalf of any organization I represent the conditions set forth in this agreement.*YesSignature*Please type the characters*This helps us prevent spam, thank you.DateSendThis field should be left blank