Proxy Submission Form Use this form to allow another person to deposit items in IUScholarWorks on your behalf. By submitting the authorization, you confirm that: I would like a third party to assist me in submitting materials to IUScholarWorks, Indiana University’s institutional repository. I understand that the submission process involves obtaining a copy of my material, providing descriptive information and/or metadata, and accepting the IUScholarWorks License This verifies that I have reviewed the IUScholarWorks License and the IUScholarWorks Policies and agree to their terms. You must have JavaScript enabled to use this form. Name of Author/Copyright Holder of the Work(s) * Email of Author/Copyright Holder of the Work(s) * Project or Item name IU Campus Name of Proxy * Email of Proxy * Start Date * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year End Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Leave this field blank Submit