Image of Research 2019 Group Submission Form
Briscoe Library's Image of Research Photography Competition is an opportunity for UT Health San Antonio students from all five schools to capture, share, and present the essence of their research in a single visual image. This competition and its accompanying exhibition showcase students’ creative visual conceptualization of their research.

If you would like to submit as an individual, please use the Individual Submission Form:
https://goo.gl/forms/kOtBb8crwILxZh0u2

Submissions accepted from February 18, 2019 through March 18, 2019.

Names *
List the first and last names of all submitting group members.
UTHSCSA Email *
Please enter the email address for one group member who will be the point of contact.
Select Your School(s): *
Required
IPE Award Eligibility
To be considered for the IPE Award, please list the names of each submitting group member along with the discipline that they are studying.
Title of Your Image *
Description of Your Image *
Provide a 100-200 word description of your image and its connection to your research. Please make sure you review the rules and guidelines for your description.
Upload Your Image *
Required
Model Authorization Release Form
If people other than yourself are present in your image, please download, complete, and upload a Model Authorization Release Form for each subject: https://opa.uthscsa.edu/sites/opa/files/flyers/Model%20Authorization%20Release%20Form%20052616.pdf
You must agree to the following license agreement that allows the University to display and provide access to your image: *
I am entering a submission to The UT Health San Antonio Libraries’ Image of Research Photography Competition. For purposes of this Release, my Work consists of: my submission; title and description of my submission; my name; and my biographical material. I do hereby grant The UT Health San Antonio Libraries, and those acting pursuant to its authority, a royalty-free, worldwide, perpetual, irrevocable license to: 1. to reproduce the Work in copies; 2. to prepare derivative works based upon the Work; 3. to distribute copies of the Work to the public by sale or other transfer of ownership, or by rental, lease, or lending; 4. in the case of literary, musical, dramatic, and choreographic works, pantomimes, and motion pictures and other audiovisual Works, to perform the Work publicly; 5. in the case of literary, musical, dramatic, and choreographic Works, pantomimes, and pictorial, graphic, or sculptural works, including the individual images of a motion picture or other audiovisual Work, to display the Work publicly; and 6. in the case of sound recordings, to perform the Work publicly by means of a digital audio transmission.I warrant that to the best of my knowledge my Work does not infringe any copyright, invade any right of privacy, or infringe or violate any other right of any person or entity. I further indemnify and hold harmless The UT Health San Antonio Libraries and its licensees, agents and assigns from any claim, suit, damage, loss or expense (including reasonable attorneys' fees) arising out of any breach or alleged breach of any of the foregoing warranties and representations.
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