Please complete this form when donating or transferring Archival Records or Museum Items to the Archives & Museum. The information provided will assist with the proper processing of these Records/ Items. Donor / Transferor Information Full Name Organization / Department (if applicable) Contact Number Email Address Physical Address Type of Material Type of Material to transfer Photographic Prints Digital Images Negatives Slides Audio Cassettes CDs / DVDs VHS / U-Matic / Betacam Tapes Film Reels Other… Enter other… Description of Materials Number of photos Number of AV items Time Period Covered (e.g., 1995–2000) Event(s) or Subject(s) Documented Location(s) Depicted / Recorded People Featured (if known) Original Creator / Photographer / Producer Copyright Ownership - None -I retain copyrightI transfer copyright to NWUNot applicable / Unknown Usage Rights / Restrictions - None -Open accessRestricted Please explain the restriction Format and Condition Format(s) Condition of Materials - None -ExcellentGoodFairPoorRequires Conservation Comments Digital File Information (if applicable) File Type(s) JPEG TIFF MP4 WAV PDF Other… Enter other… Storage Medium USB External Hard Drive Cloud Transfer Email CD/DVD File Naming Conventions Used (if any) Additional Notes Declaration I confirm that the information provided above is accurate to the best of my knowledge. I am the rightful owner of these materials OR I have permission to transfer/donate them to NWU Archives. Signature Reset Submit Leave this field blank
