S

1. OSU Global Health Photograph Exhibit Submission Form
Submission Deadline: April 30, 2010
Please submit each photograph with the submission form.
Electronic submissions to osuglobalhealth@gmail.com are
preferred.
1. Photographer (Full Name):
2. OSU affiliation (Faculty, Staff, Professional, Graduate or
Undergraduate Student):
3. Title (Optional):
4. Location photo was taken:
5. Description (Required, 100 words maximum)
By submitting this form, I affirm the work is my own and the

2. subjects consented to the photograph. I allow the Global
Health Initiative at OSU to use the photograph in future
printed and online materials.