Documenting Covid-19 @ CSUN

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Did anyone else help create these materials? (Note: Interviewees should not be included in this category.) *

Yes

If yes, please list all co-creators (name and email address). IMPORTANT: Each co-creator must fill out this form in order for the item to be accepted by the archives. We will use their email address to reach out to them, but only one co-creator is required to upload the file. *

Brief Description, (ex.photographs of Covid signs outside the grocery store on Reseda and Norhoff, July 29, 2020 OR if your submission is a class assignment please identify the class, ex. Dr. Spratt, English 493, personal reflections assignment, etc.) *

I want researchers to be able to use these materials (select one): *

As soon as Special Collections & Archives has completed processing

In 5 years

Other

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Legal Statements

DONATION AGREEMENT *

I irrevocably and unconditionally grant, convey, and transfer to California State University, Northridge Foundation any and all rights, title and interest which I now have, or may possess in the future, in and to the uploaded property for the benefit of the University Library and those faculty, students and other researchers served by the Library. I understand that this gift is to be used by California State University, Northridge's University Library as a part of its collections for purposes consistent with the policies of the Trustees of the California State University.

PERSONAL HEALTH INFORMATION *

I understand and agree that the submitted material may contain sensitive personal information about me, including personal health information, and that this information may be accessible to others as described above. I agree not to include personally identifiable information of (or information that could allow a third party to identify) other students or employees of California State University, Northridge, including their personal health information.

ACKNOWLEDGEMENT OF PERSONS FEATURED *

I acknowledge that any and all people featured in the materials have granted me their permission to record or photograph them and submit the files to CSUN for inclusion in the archive.

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