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PERSONAL ARCHIVE CONSENT FORM – CONFIDENTIAL Project Title: Memory Project
Interviewer: [Insert name of interviewer]
Request to participate in project
You are being asked to contribute your personal archive as part of a memory project being conducted by [researcher’s name], on behalf of the Memory Project, taking place in [provide location, duration of project].
Purpose
The Memory Project aims to document and reflect the experiences of people in Georgia/Abkhazia in the run up to, during and immediately after the war. It will create two parallel archives, which together will reflect multiple perspectives, memories and interpretations. The two archives will chronicle events through the personal account of individuals, and aim to give as full a picture as possible.
Process
Part/all of your personal archive will be inventorised and digitised with your consent. The researcher will meet with you to discuss which elements of your personal archive you would like to be digitised and deposited with the Memory Project. You may choose not to include specific elements, and for those materials that are digitised and deposited, you may choose the conditions concerning their future access and use (see below). I would also like to remind you that the researcher reserves the right not to include any information that names people who you are describing as committing crimes.
You will then have the possibility to see all the materials in a digitised format before you sign and you have the right to have the materials removed from the archive in whole or in part at any time, as far as technically possible, or to put an embargo on access to it, or to have it anonymised.
Future access and use
All digitised copies made from your personal archive will be stored in a secure work space and will not be accessible to the public for a period of moratorium agreed by the project partners (provisionally 5 years). It is intended that the materials will then be made available to the public through the Memory Project. The results or excerpts of your materials may also be used in publications, online repositories, or other scholarly work in the future.
If you would like to remain anonymous, the materials will not be available for public use, and your name will not be referenced in any material obtained from your personal archive.
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By signing this agreement, I indicate that:
€ I agree to be identified by name in reference to the collection created from the materials copied from my personal archive and deposited with the Memory Project.
o Immediately after the moratorium ending by agreement of the project partners o After ...years
o After my death
€ I agree for the material to be made publicly accessible in its entirety or partly.
€ I agree for the material to be put on the internet in its entirety or partly.
Memory Project – Personal Archive consent form
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€ I wish to remain anonymous in any reference to the materials copied from my personal archive and deposited with the Memory Project.
€ I confirm that I have been given a copy of this form for my records.
€ I request that a copy of the inventory/digitised personal archive materials be made available to me once these have been processed for archiving.
PARTICIPANT
Name:
Address:
Email: Phone:
_______________________ Participant’s Signature Date
RESEARCHER Name: Address: Email:
Phone:
Memory Project – Personal Archive consent form
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Researcher’s Signature Date