Archives and Special CollectionsRuth A. Haas Library Western Connecticut State University 181 White Street Danbury, CT 06801 (203) 837-8992
Description of materials or inventory, please be a detailed as possible: (attach additional sheets to the paper copy of this form)
For example:
Researchers who meet the requirements set by Archives and Special Collections may have full access to this collection with the exception of the restriction(s) or conditions stated below:
No Restrictions
Some Restrictions (please specify below:)
I assign and convey irrevocably the legal title and all literary rights or copyright which I may have to the described property to the Western Connecticut State University Archives & Special Collections Library (the Archives). I understand that the Archives may digitize this material for access via the World Wide Web or for other forms of electronic distribution. Furthermore, I agree that researchers who meet the requirements set by the Archives may have full access to this collection with the exception of the restriction(s) or conditions stated below:
Returned to Donor
Other (describe)
By checking "agree" below, you understand and accept the terms of this Deed of Gift Form/Agreement. The WCSU Archives and Special Collections Library at the Haas Library will not accept any materials unless the donor agrees to the terms of this agreement.
Agree
Also please print and sign this form (when submitting electronically, type your name below). By signing this form, you formally transfer custody of the materials described in this form to the WCSU Archives and Special Collections Library at the Haas Library.
Signed: Date:
The staff will prepare a descriptive finding aid at the folder level which will be made available to researchers. The archivists at WCSU will offer administrative reference for the materials.
If you have questions, please call 837-8992. Thank you for your interest in preserving these materials.
Use "print-only" version