Middle Math Institute: Expressions, Equations, & Functions

This will be only used for communications outside of the academic calendar.

Please select all that apply.

We want to ensure that your time with us is meaningful, and that your administration understands the important work you are doing for your development as a professional. We would love to send your administrator a short email detailing insights from this professional development opportunity. If you would like us to share this information with your administrator, please fill out the section below.

In attendance at a special program sponsored by the University of Mississippi and hosted by or partnered with The Center for Mathematics and Science Education (CMSE), I hereby grant permission to the rights of my image, likeness, and sound of my voice as recorded on audio or videotape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: • conference presentations • educational videos • informational/educational presentations or courses • websites • on-line educational courses    • research publications. By agreeing to this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. I will be consulted about the use of the photographs or video recording for any purpose other than those listed above. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By agreeing to this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.