In consideration of the work
that the Northern Virginia Folklife Archive is doing to collect, preserve,
and present traditional materials, I would like to deposit my research with
them as part of their permanent collection.
I understand that my informants and I have free access to the collection
through the normal procedures of the Archive. I also understand that students,
community members, and scholars may read my collection. Those individuals
who wish to duplicate or quote from my materials must get written permission
from the Director of the Archive.
CIRCLE ONE: They should / should not mention my name as collector.
CIRCLE ONE: They should / should not mention the name(s) of
my informants.
CIRCLE ONE:
We will allow / will not allow this material to be published at the
Northern Virginia Folklife Archive site on the World Wide Web (http://www3.gmu.edu/folklore/nvfa/index.html).
Below are the restrictions we require (for example: use pseudonym, omit
addresses, etc):
________________________________________________________
|
*Informant's signature
|
*Collector's signature (signing for self or for self and informant)
|
| *Informant's printed
name
|
*Collector's printed name
|
|
Address
|
Address
|
| Email address
|
Email address
|
|
Phone
|
Phone
|
|
Date
|
Date
|
*If you or your informant have chosen to remain anonymous or have requested a pseudonym, please write either "Anonymous" or the pseudonym(s) here.
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