Carnegie Mellon University

Intellectual Property Policy Agreement Form

As a faculty, staff and/or student of Carnegie Mellon University (“CMU”), you are subject to its Intellectual Property Policy (the “Policy”). A copy of the Policy is currently available at: http://www.cmu.edu/policies/documents/IntellProp.html.

Among other things, the Policy describes the instances when CMU will own (and/or will have certain rights to) the intellectual property you create. The Policy requires you to sign any paperwork needed to confirm any ownership (or rights) in intellectual property that CMU may have under the Policy. This purpose of this document is to carry out the requirements of the Policy.

Therefore, you agree:

• If the Policy allows CMU to own certain intellectual property you create (or have created), you hereby assign to CMU any and all ownership you have in such intellectual property, and

• If the Policy allows CMU to receive license rights to certain intellectual property you create (or have created), you hereby grant to CMU any and all such licenses.

By signing below, you are agreeing to this legally-binding document for the benefit of CMU and certify that you are at least 18 years old.

Signature: _________________________

Printed name: ______________________

Date: _____________________________