ࡱ> xzw_ Cbjbjzz 4B\B\C``r****$X**,***0U"^/(B0r(W.((Xr(`> : HYPERLINK "../~$pstone Publication Release Form%5b1%5de.doc"~$pstone Publication Release Form[1]e.doc Capstone Project Publication Release Form I am a candidate for a Doctoral Degree in Oriental Medicine, from the Pacific College of Oriental Medicine. In partial fulfillment of the requirements I have written and submitted to the College a Capstone Project dissertation entitled__________________________________________________________________. I understand that a copy of this work is held at the Library and available to users for education and research purposes. Use is restricted to College faculty and students and does not circulate for more than 2 hours. For security purposes an institutional copy is kept in the Librarians office. I _________________________________________ (full name) hereby authorize the Pacific College of Oriental Medicine to make an electronic pdf version of this document, in the event I want requesters to have a copy of it. I understand that electronic versions may require my approval before released. In the future, should Pacific College of Oriental Medicine join the ProQuest's UMI Dissertation Publishing program, I authorize the College to include my work with all the Dissertations to be available through ProQuest. I give my permission for this purpose, but I do not give permission for any other use or re-disclosure of this information. This authorization is valid for a period of 5 years from the date of this signature. Signature _________________________________________________Date_____________ Print Full Name________________________________________________ Address:______________________________________________________ City, State______________________________________________Zip___________________ Telephone Home____________________________________Fax_________________________ Telephone, Cell_______________________________________ E-Mail or other Network__________________________________________________________ Pacific College of Oriental Medicine,7445 Mission Valley Rd, Ste 105, San Diego, CA 92108, Phone 619-574-6909, Fax 619.-574-6641 =>?hijk|; X     " 9 :  a x пpahFPh(nOJPJQJ^J!hFPh(nB*OJQJ^JphhFPh" OJPJQJ^JhFPhOOJPJQJ^JhFPhbOJPJQJ^J h" hbCJOJQJ^JaJ h" h" CJOJQJ^JaJ hmhOjhQ>Uh.kh.k0Jjh^BUh^Bjh.kU$k   w x [gdbgd" $ 2( Px 4 #\'*.25@9dgd" $ 2( Px 4 #\'*.25@9dgdb [#&/BCĵj`hrzhm56*hFPhm56CJOJPJQJ^JaJ&hrzh 56CJOJPJQJaJ&hrzhm56CJOJPJQJaJhFPhOOJPJQJhFPhOOJPJQJ^JhFPh(nOJPJQJ^JhFPhbOJPJQJ^JhFPh" OJPJQJ^JhFPhrzOJPJQJ^J9pCgdb21h:pFP/ =!"#$% DyK yK z../~$pstone Publication Release Form%5b1%5de.docyX;H,]ą'c*Dd l6  3 A?"*[Q ۮP{)/@=)[Q ۮP{h[ صSX9)xyXS$$!!Rر ǂF{Wg^aXFGņ,{Eņ$tΝy'W{Z{ 0?rR|}R pekuƅښa|-0=<&[0grsr1WUĀ.+.+ŪdD0]4 Ƹhl 35s,0h8 bZ"a .O=Os .KdxP0po!fG41ݘL'ce>Lo|7T.PaF-k}M~3H*2gwx&%-Cί); bSF9nfxEmpEO ~R,/}ǙX x.xN™qogsjq\F\!ukp xhqO bf9Gۯgi#E!nmJㆡJ7orgeݰ@J]4:\5 f66>bWqf!`ɒs>x2~s^eI1:uG9ѫ׮?yKo^y/_|qS'1''YfcrqTԦɓ_?% 0:S^U?Rv \p`kmY]C2F{saaNȋzх $'9|x3s _Uix}ˎ쐋z]tѬ;8ʰn};s!U3g{4?Kp|$J-R(Tײ++-yb]$M9Bf`'SL{2kkjW[?>̢ʄݷɤGְlǒd/zk勺43ʰ#5jlڞX:0"6ny+OƙmݾάӶ=:虣W(ʎI}.Ȫ񶹅O;.0P#d=ⲵ-R>);L .1F A7rW>ʹܶnŢ걫N;ɴўδ5:.跩7.7cږ81'=h;M!1:I.9.?\թa>"éє2Ï{_=ܴŮLJǮ4m򘩡Zq#r<[O :|UCid\8bɕZ7\sǚX~bݦ[MCJ8Sء?e6nx~Pch:өS'TT;l²FOzٴDԞ񩑛kmEnY',6f9䝏;VOIw4QlUJXb.~_V![D)?*(guםT6k2SC ݦfWTQW|7יc ۞\t'q3 9e:ni>'ʳ̾!ڱ/鸿!şڲ'ղϬ?<"#'?wNVzrm7|B54roLLǶNZMWZcoh]/Yҳ]ˈ"uܦOG/,R1! 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In partial fulfillment of the requirements I have written     72 0 and submitted to the College    2 0 a   0'' 82 `0 Capstone Project dissertation    0'' |2 `K0 entitled__________________________________________________________________.         2 0    0''  2 *`0    0'' (2 ;`0 I understand that a  2 ;0   >2 ;"0 copy of this work is held at the L  2 ;0 ibrary  2 ;0   #2 ;0 and available to  2 ;?0   2 ;C0 use 2 ;[0 rs  2 ;h0   2 ;k 0 for educa 2 ;0 tion   0'' 2 L`a0 and research purposes. Use is restricted to College faculty and students and does not circulate     0'' C2 \`%0 for more than 2 hours. For security    22 \I0 purposes an institutional  ;2 \ 0 copy is kept in the Librarians   0'' 2 m`0 office.  2 m0    0''  2 ~`0    0''  2 `0    0'' 2 ` 0 I ________ h2 >0 _________________________________ (full name) hereby authorize      2 q0   2 v 0 the Pacific    0'' 2 ``0 College of Oriental Medicine to make an electronic pdf version of this document, in the event I       0'' C2 `%0 want requesters to have a copy of it.   2 K0    0''  2 `0    0'' D2 `&0 I understand that electronic versions  2 P0 may  2 p0 requ ;2  0 ire my approval before released.   2 _0    0''  2 `0    0''@"Arial------ q2 `D0 In the future, should Pacific College of Oriental Medicine join the     --- 52 0 ProQuest's UMI Dissertation      0''--- 2 ` 0 Publishing ---  2 0   2 N0 program, I authorize the College to include my work with all the Dissertations        2 0   2 0 to be   0'' ,2 '`0 available through ProQ   2 '0 uest.   2 '0    0''  2 8`0    0'' 2 I`[0 I give my permission for this purpose, but I do not give permission for any other use or re     2 I0 -  0'' :2 Y`0 disclosure of this information.   2 Y0    0''  2 j`0    2 `U0 This authorization is valid for a period of 5 years from the date of this signature.    2 f0    2 ` 0 Signature  @2 #0 ___________________________________   2 0 ______________   %2 .0 Date_____________     2 0    j2 `?0 Print Full Name________________________________________________         2 H0    h2 `>0 Address:______________________________________________________       2 N0    2 `O0 City, State______________________________________________Zip___________________            2 0    2 /` 0 Telephone   2 B`0 Home___   g2 B=0 _________________________________Fax_________________________       2 B0    \2 c`60 Telephone, Cell_______________________________________     2 c0     2 `0 E   2 j0 -  2 o0 Mail or other  @Times New Roman- - - --- m2 `A0 Network__________________________________________________________       - - -   2 j0   @Times New Roman- - -  a2 `90 Pacific College of Oriental Medicine,7445 Mission Valley          >2 "0 Rd, Ste 105, San Diego, CA 92108,       @"Arial- - - - - - @"Calibri- - - - - -  2 `0 Phone  - - -  2 0 619 - - -   2 0 - 2 0 574  2 0 - 2 0 6909 2  0 , Fax 619.   2 /0 - 2 40 574  2 L0 - 2 Q0 6641- - -   2 q0   --  00//..՜.+,D՜.+,4 hp   Microsoft?  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