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This LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they all must be in agreement of this submission and publication, as stated in the declaration section. Title Mr/Mrs/Miss/Ms/Dr/Prof/Other Surname First name(s) Email Profession or Job role (if a student state course of study) Address Town/city Postcode Country Telephone Website or blog address (if applicable) Would you like to use these details as correspondence? If No please complete details below. Yes No Author Name for correspondence Profession or Job role (if a student please state course of study) Email for correspondence Address for correspondence Town/city Postcode Country Telephone 2. OTHER CORRESPONDENCE DETAILS (if same as above please leave blank) Submission Manuscri 1. SUBMITTING AUTHOR Office use only Manuscript number: ______________ Manuscript received: ______________ Instructions for applicants 1. Please type application in spaces 2. Save application on your computer or memory

Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

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Page 1: Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

This LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor.If the article has more than one author, they all must be in agreement of this submission and publication, as stated in the declaration section.

Title Mr/Mrs/Miss/Ms/Dr/Prof/Other     

Surname     

First name(s)     

Email     Profession or Job role (if a student state course of study)     Address     Town/city     

Postcode     

Country     

Telephone     

Website or blog address (if applicable)      

Would you like to use these details as correspondence? If No please complete details below. Yes No

Author Name for correspondence     Profession or Job role (if a student please state course of study)     Email for correspondence     Address for correspondence      Town/city     

Postcode     

Country     

Telephone     

If you are a member of any professional organisations or associations please state below:

Professional organisation or association Membership number (if applicable):           

           

           

2. OTHER CORRESPONDENCE DETAILS (if same as above please leave blank)

3. PROFESSIONAL MEMBERSHIPS

Submission of

Manuscript

1. SUBMITTING AUTHOR

Office use only Manuscript number: ______________ Manuscript received: ______________ Manuscript revised: _______________ Manuscript accepted: ______________

Instructions for applicants1. Please type application in spaces2. Save application on your computer

or memory pen3. Email it to [email protected]

Page 2: Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

Please tell us your relevant qualifications for the current application (for example, degrees, diplomas, certificates, etc). If you are currently a student also provide that information. Please provide evidence for this (for example, a scan of your qualifications)

Article (short) title Authors names Date of completion Country

Where do you want to publish it?

                        Journal Newsletter

                        Journal Newsletter

                        Journal Newsletter

                        Journal Newsletter

                        Journal Newsletter

                        Journal Newsletter

Please tick all relevant details about your manuscript(s):

Case study Original research Systematic review Literature review

Randomised Controlled Trial

Qualitative research Personal opinion Book review

Article review Personal account Reflective article Poem

Open letter Personal opinion Critique of current affairs

Audit/service evaluation

Other, please state:      

Please submit a small biography of about 100 words for each author to be included in each article. This can include your academic achievements, recent research or clinical work done, and even areas of professional/personal interest.     

4. MANUSCRIPT(S) DETAILS

4. SUBMISSION DETAILS

5. AUTHOR(S) SHORT BIOGRAPHY

Page 3: Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

Please read the following limited copyright details before agreeing to submit your manuscript(s).

a) LIMITED COPYRIGHT TRANSFER – When considering for publication and dissemination of any work submitted, if accepted and published by InPACT Journal or Newsletter, the author(s) of any submissions agree to transfer copyright of the Work (manuscripts submitted) to InPACT (Integrative Affiliation for Psychological and Complementary Therapies), including full and exclusive rights to publication in all media known at present or later developed, including but not limited to electronic databases and microfilm/microform, electronic journal format, anthologies of any kind, single-copy distribution through a distribution system, and as part of any aggregate (i.e. multiple journals distributed together as a package) print or electronic subscriptions or publication of any kind, and in any format now know or later developed with exceptions and limitations noted in the clause b) AUTHOR RE-USE OF WORK, below. All materials submitted with the manuscript, including photographs, images, graphs, figures, as considered to be part of the manuscript and must be retained by the publisher for use in additional printing in case the journal issue or reprint edition needs to be reprinted.

b) AUTHOR RE-USE OF WORK – Since we understand the need that authors have to expand their professional and research roles, and at times may need to disseminate their own work in other formats, the Copyright transfer to InPACT is limited, and All Authors retain:

1. Proprietary rights of any work, other than copyright, such as patent rights in any procedure, process, or means of manufacture detailed in the contribution;

2. Oral presentation rights anywhere in the world;3. Reprint distribution rights, including posting as electronic files on the author(s) own website, or internal computer systems, or

other external website linked to author(s) professional role, but not for either commercial (for-profit) or systematic third party distribution, sales or dissemination (i.e. other journal, website, or newsletter);

4. Photocopies, online transmittal, or downloading rights to any colleagues for advancement of scientific research (with exception of commercial use or systematic distribution as described in point 3 above);

5. Re-publication rights in any book written or edited by the author(s) themselves, in any edited work for which the author(s) is the sole editor or senior editor, or teaching packs prepared or written by the author(s) for educational purposes.

For any of the above points, no further permission is necessary in writing from InPACT. However, we do require that the following conditions are met when re-using any of the submitted materials:

To include a standard copyright line: copyright date, publisher’s name, city and state, journal and article name, volume, issue and page number(s);

Include the following information: article copies available from InPACT (Integrative Affiliation for Psychological and Complementary Therapies);

If reprinted electronically, include a hyperlink to InPACT homepage at http://inpacting.worpress.com; If reprinted electronically, the article must be available for free and no charge.

All submissions must answer each of the questions below. Deliberate false statements will result in your removal from current and future publications. Declarations may not stop you from publishing with us, but they may still need to be stated.

Question Declaration Details appended?

Are all authors are in agreement to the submission of the manuscript(s)? If No, please provide details of this.

Yes

No To your knowledge, are these manuscripts your own work and

have never been published elsewhere nor under other or similar titles? If No, provide details about previous publications and copyright permissions.

Yes

No Are all art work, photos, images, diagrams, charts, graphs,

illustrations, and tables of your own creation? If No, please provide details of where you got them from.

Yes

No Have you checked that your manuscripts do not breach

plagiarism and copyright laws? If No, please read about it and make sure your article does not breach these laws. We may not be able to do checks before publication.

Yes

No Have you proofread your article for spelling, grammar,

punctuation, clear and unambiguous, and non-discriminatory language? If No, please provide details and we can try and check it for you. We may not be able to check it for you and on submission we cannot make changes.

Yes

No

Are you aware of, and have your read the copyright limitations in section 6. If No, please read it. If English is not your first language, please make sure you ask someone to translate it for you before you submit any manuscript.

Yes

No

7. DECLARATION

6. LIMITED COPYRIGHT DETAILS

8. FINAL DECLARATION AND SIGNATURE

Page 4: Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

I wish to submit this (these) manuscript(s) for publication with the Integrative Affiliation for Psychological and Complementary Therapies (InPACT), as part of their Journal or Newsletter, both printed or electronic versions, and I accept that this submission has been agreed by all authors of all manuscripts.

I agree that my signature and declaration represents the decision made, and subsequent agreement, by all authors involved in the production of the enclosed manuscript(s).

I agree to the declaration above and limited copyright details.

The information presented with this form is accurate to the best of my knowledge.

Please provide the following information as part of your electronic or digital signature:

I agree with the above declaration (please tick box) Date:       Time:      

Full name of submitting author:       Your country of birth:     

Your eye colour:     

Thank you for submitting your manuscript(s).

Please allow up to 4 weeks for the review process. Please make sure that all authors are in agreement to the submission of this article and subsequent reviews.

Page 5: Submission of manuscript€¦  · Web viewThis LIMITED COPYRIGHT FORM must be included with any manuscript(s) submitted to the editor. If the article has more than one author, they

This section is completely voluntary and is not part of the submission process. However, it would help us if you answer as much as possible to allow us to monitor the diversity and equality of our authors to ensure that we are providing the best possible service.

Age range: 16 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 65 and over

Gender identity: Male Female Is your gender identity the same as the gender that you were originally assigned at birth? Yes No

Sexual Orientation: Bisexual Gay Heterosexual Lesbian Asexual Other

Civil status: Married/partnership Single Divorced/separated Widowed

Other, please specify      

Nationality: Please state your Nationality      

Ethnic Origin: Please state your Ethnic origin      

Religion/spirituality : Please state your religious/spiritual identity      

Languages: Please state the languages that you speak fluently.      

Disability: Do you consider yourself have a disability? Yes: No:

Are you blind or do you have a visual impairment?

Do you have learning difficulties?

Are you a person with experience of mental health distress?

Do you use a hearing aid or communicate using any Sign Language?

Do you use a walking stick or a wheelchair?

Do you have any other medical conditions (e.g. diabetes, epilepsy, Multiple Sclerosis, back problem etc. – please state)?      

How did you find out about InPACT?

Twitter Facebook Linkedin Tumblr Wordpress Google Friend

Other place      

EQUAL OPPORTUNITIES AND DIVERSITY MONITORING FOR SUBMITTING AUTHOR