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SUNY New Paltz
Special Collections -
Patron Registration Form |
*Please print out and complete this form
prior to using Special Collections. |
| Special Collections is open to students, faculty, and staff of SUNY New Paltz, as well as members of the public. All items are non-circulating, and photocopying/scanning is prohibited without special permission. Your registration will help us protect our historical materials, and enable us to evaluate the continuing usefulness of our collections. |
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| Name: ____________________________________________________________________ |
| Address: __________________________________________________________________ |
| Daytime Phone: ___________________ |
Evening Phone: ___________________ |
| Email: __________________________ |
Fax: ____________________________ |
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| Institutional Affiliation: _______________________________________________________ |
| Position: |
Purpose of Research: |
| ( ) Faculty/Staff |
( ) book/article |
| ( ) Doctoral Student |
( ) thesis/dissertation |
| ( ) Masters/Undergraduate Student |
( ) essay/term paper |
| ( ) Alumni |
( ) personal research |
| ( ) Member of the Public |
( ) administrative use |
| ( ) Other (specify) __________________ |
( ) Other (specify) ___________________ |
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| Please list specific material requested: |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| Agreement: I have read and agree to abide by the "Guidelines for Using Materials in Special Collections"printed on the second page of this form. I understand that the material I use may be protected by the Copyright Law, Title 17, U.S. Code, and that I will be responsible for abiding by the Copyright Law. |
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| Signature:_______________________ |
Date:__________________________ |
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Guidelines for Using Materials in Special Collections |
| Registration and Orientation |
| - All patrons wishing to use Special Collections must complete the first page of this form. |
| - All materials must be viewed in the private Reading Area adjacent to Current Periodicals. |
| - To assist in the preservation of books and documents, all researchers must handle materials carefully. |
| Reading Room Procedures |
| - All briefcases, purses, and backpacks are to be placed on the floor in the Reading Area. |
| - To preserve our unique materials, food, beverages, and smoking are strictly prohibited. |
| - Notes are to be taken in pencil only. Researchers may use laptops in the Reading Area. |
| - Photocopying/Scanning of materials is prohibited. |
| - Researchers will use one set of materials at a time, and will be careful to maintain their original sequence. |
| Publication, Citation, and Copyright |
| - Researchers who plan to publish or exhibit original material from Special Collections must seek written permission from the Director of the Sojourner Truth Library. |
| - Each use of materials must be accompanied by proper credit to Special Collections/Sojourner Truth Library, SUNY New Paltz. |
| - Special Collections assumes no responsibility for infringement of copyright. The researcher is responsible for obtaining the necessary copyright clearance and publication rights for all materials. |
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| (This section to be completed by library staff.) |
| Collection/Item |
Staff |
Date |
Condition |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
| _______________________________________________________________________ |
Notes:
CMR - June 2002
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