List the and titles of all contributors of this work, including the lead author/creator/artist. Indicate the % contribution for each contributor. The contribution of all authors/inventors should total 100%. The Lead author/creator/artist contributes the highest %. The signature below must be signed. The date of the last signature is the date when this disclosure comes into effect. Name: % Contribution: Department: College/School: University (if than WKU): Home Address: Email Address: Citizenship: If not US Citizen, please provide Alien registration number and expiration date Signature: Date: (Please print the above section to add more Creators) The completed form and supporting documentation should be submitted to the Intellectual Property Committee, 301 Wetherby Administration Building, Office of Research & Creative Activity, WKU 1906 College Heights Blvd., #11026 Bowling Green, KY 42101-1026 Phone: (270) 745-4652
List the and titles of all contributors of this work, including the lead author/creator/artist. Indicate the % contribution for each contributor. The contribution of all authors/inventors should total 100%. The Lead author/creator/artist contributes the highest %. The signature below must be signed. The date of the last signature is the date when this disclosure comes into effect. Name: % Contribution: Department: College/School: University (if than WKU): Home Address: Email Address: Citizenship: If not US Citizen, please provide Alien registration number and expiration date Signature: Date: (Please print the above section to add more Creators) The completed form and supporting documentation should be submitted to the Intellectual Property Committee, 301 Wetherby Administration Building, Office of Research & Creative Activity, WKU 1906 College Heights Blvd., #11026 Bowling Green, KY 42101-1026 Phone: (270) 745-4652
word_ip_copyright_disclosure.docx