Speaker Consent Form

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Speaker Consent Form - TTIC

Email *

The Toyota Technological Institute at Chicago (TTIC) would like to record your upcoming presentation at TTIC. Please confirm your permission for the recording of your presentation and TTIC’s rights to use, distribute, copy and edit the recording, in whole or in part, in any form or media for non-commercial, educational purposes, and to grant rights to third parties to do any of the foregoing, by signing below.

Print Name *

Title of Presentation *

Date of Presentation *

YYYY

Do we have permission to live stream your presentation? *

Yes, restricted access to UChicago/TTIC

Yes, with a link advertised on our mailing list

Yes, with a link that is also available through the TTIC webpage and public calendar.

Do we have permission to record your presentation and make it available offline? *

Record but do not make generally available without my consent

Yes, available offline only inside UChicago/TTIC

Yes, publicly accessible

Do we have permission to make the presentation available on the TTIC webpage? *

Yes

This presentation may be selected for sharing on the TTIC YouTube channel. If you do not consent, please opt out *

I agree

Opt out

Please list any additional request or restrictions.

Submit

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