RIC COVID-19 Archive - Special Collections - James P. Adams Library at Rhode Island College

Personal Information
First Name: (required)

Last Name: (required)

Email: (required)
Please enter a valid email address
What is your Rhode Island College affiliation? Please select all that apply. (required)
Faculty
Staff
Undergraduate student
Graduate student
Alum
What is your department, unit, or major?

Tell us a bit about yourself, your role at Rhode Island College, and/or your occupation.


Are you 18 or older? You must be at least 18 years old to submit materials. (required)
Yes

Item Submission Form (Max five [5] per submission)

Provide a brief title for the item. (required)

Creator of the item (This name will appear if the item is publicly exhibited or displayed online. You may list your full name, just a first name, or "anonymous" if you prefer) (required)

Are you the sole creator of these materials? (required)
Yes No
Additional creators (required)
Please list the names of the content co-creators, their contact information, and the circumstances of how you came to have the materials. We will need to contact and receive a submission agreement from all co-creators in order for the item to be accepted by the archives.

Date when the item was created

Location where the item was created

Briefly describe the topic and/or content of the item.

Language of the item

Does this item include personal health information about either yourself or other identified individuals?(required)
Yes No
Choose a file to upload from your device (required)
Accepted file types: Image (.jpg, .jpeg, .png, .gif), Audio (.mp3, .m4a, .aif, .wav), Video (.mp4, .mov, .wmv, .avi, .mpg), Text (.pdf, .doc, .docx, .pdf, .rtf, .txt). If item does not have one of the listed file extensions, it will not be accepted to the archive.

Do you want to add another file?
Yes No

Item Submission Form #2 (Max five [5] per submission)
Provide a brief title for the item. (required)

Creator of the item (This name will appear if the item is publicly exhibited or displayed online. You may list your full name, just a first name, or "anonymous" if you prefer) (required)

Are you the sole creator of these materials? (required)
Yes No
Additional creators (required)
Please list the names of the content co-creators, their contact information, and the circumstances of how you came to have the materials. We will need to contact and receive a submission agreement from all co-creators in order for the item to be accepted by the archives.

Date when the item was created

Location where the item was created

Briefly describe the topic and/or content of the item.

Language of the item

Does this item include personal health information about either yourself or other identified individuals?(required)
Yes No
Choose a file to upload from your device (required)

Do you want to add another file?
Yes No

Item Submission Form #3 (Max five [5] per submission)
Provide a brief title for the item. (required)

Creator of the item (This name will appear if the item is publicly exhibited or displayed online. You may list your full name, just a first name, or "anonymous" if you prefer) (required)

Are you the sole creator of these materials? (required)
Yes No
Additional creators (required)
Please list the names of the content co-creators, their contact information, and the circumstances of how you came to have the materials. We will need to contact and receive a submission agreement from all co-creators in order for the item to be accepted by the archives.

Date when the item was created

Location where the item was created

Briefly describe the topic and/or content of the item.

Language of the item

Does this item include personal health information about either yourself or other identified individuals?(required)
Yes No
Choose a file to upload from your device (required)

Do you want to add another file?
Yes No

Item Submission Form #4 (Max five [5] per submission)
Provide a brief title for the item. (required)

Creator of the item (This name will appear if the item is publicly exhibited or displayed online. You may list your full name, just a first name, or "anonymous" if you prefer) (required)

Are you the sole creator of these materials? (required)
Yes No
Additional creators (required)
Please list the names of the content co-creators, their contact information, and the circumstances of how you came to have the materials. We will need to contact and receive a submission agreement from all co-creators in order for the item to be accepted by the archives.

Date when the item was created

Location where the item was created

Briefly describe the topic and/or content of the item.

Language of the item

Does this item include personal health information about either yourself or other identified individuals?(required)
Yes No
Choose a file to upload from your device (required)

Do you want to add another file?
Yes No

Item Submission Form #5 (Max five [5] per submission)
Provide a brief title for the item. (required)

Creator of the item (This name will appear if the item is publicly exhibited or displayed online. You may list your full name, just a first name, or "anonymous" if you prefer) (required)

Are you the sole creator of these materials? (required)
Yes No
Additional creators (required)
Please list the names of the content co-creators, their contact information, and the circumstances of how you came to have the materials. We will need to contact and receive a submission agreement from all co-creators in order for the item to be accepted by the archives.

Date when the item was created

Location where the item was created

Briefly describe the topic and/or content of the item.

Language of the item

Does this item include personal health information about either yourself or other identified individuals?(required)
Yes No
Choose a file to upload from your device (required)

Submission Agreement:

I hereby certify that I created, and own copyright in, the submitted material. While I will continue to retain my copyright, I hereby grant to Rhode Island College Adams Library a license to add the material to its archival collections and preserve it for future generations of students, scholars and researchers. I give the library permission to:

organize the materials according to accepted archival principles
create metadata, finding aids, and full-text search interfaces required for the preservation and discovery of the materials
make the materials accessible to researchers and staff
use the materials in exhibits and displays, both physical and online.

I agree that Adams Library may contribute this material to the Rhode Island Covid-19 Archive (https://ricovidarchive.org) under a Creative Commons Attribution 4.0 license (https://creativecommons.org/licenses/by/4.0/), which will allow others to share and adapt the material, as long as I am given appropriate credit."

I have read and understand the above statement.*

Personal Health Information Agreement:
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 archived and shared as described above. I agree not to include personally identifiable information concerning another person or persons, or information that could allow a third party to identify other people, including other students or employees of Rhode Island College. This includes their personal health information."

I have read and understand the above statement.*