AASU University Archives and Special Collections

Research Application


Name:____________________________________________________  Date:_________________

Local address:_____________________________________________

_______________________________Telephone:_________________

Permanent address:_________________________________________

_________________________________________________________

Student status or occupation:__________________________________

Institutional Affiliation:___________________________________________________________________

Subject of research (please be specific: included dates, proper names, etc.)__________________________

______________________________________________________________________________________

______________________________________________________________________________________

_____________________________________________________________________________________
 

How did you hear about our holdings?_______________________________________________________

What is your Armstrong affiliation?
(  ) Armstrong undergraduate
(  ) Armstrong graduate student
(  ) Armstrong faculty/staff
(  ) Armstrong Alumni
(  ) Visiting researcher
 

Purpose of research (check all that apply):

(  ) Class assignment   (  ) M.A. Thesis   (  ) Family history
(  ) Honors Paper/Senior Thesis  (  ) Ph.D. Dissertation  (  ) Local history
(  ) Graduate/Seminar Paper  (  ) Exhibit   (  ) Pictorial research
(..) Armstrong history   (  ) Article   (  ) Personal Interest
(..) Administrative Use   (  ) Book    (  ) Other_____________
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Data from this form will be used to compile statistical and research topic summaries. We attempt to inform researchers of others with similar interests. Do you object to having your name and information about your research topic made available to others working in the same area?  Yes (  ) No (   )

I HAVE READ, I UNDERSTAND, AND I AGREE TO ABIDE BY THE RULES FOR USING THE ARCHIVES.

Signature:_______________________________  Date:_______________________________
 
 



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