Name _____________________________________________________________________
Affiliation __________________________________________________________________
Street Address _______________________________________________________________
City _______________________________ State _____ Zip ___________________
Home Phone ________________________ Business Phone _______________________
E-Mail Address _____________________
Purpose of Research (check all that apply)
___ 01 State agency operations ___ 02 Legislation
___ 03 Genealogy ___ 04 Military history
___ 05 Student paper ___ 06 Graduate thesis
___ 07 Community history ___ 08 Historic preservation
___ 09 Archaeology ___ 10 Printed publication
___ 11 Illustrations ___ 12 Legal proceedings
___ 13 Property title search ___ 14 Exhibit
___ 15 Instructional use ___ 16 Audiovisual Archives
___ 17 Other (please specify):
_________________________________________________________
DECLARATION:
I have received a copy of the Archives and History Library rules and agree to abide by them. For any
publication, broadcast, film, exhibition, etc., in which this material is used, I will give credit as follows:
"West Virginia State Archives." When a specific collection name is provided by Archives and History,
that name will also appear in the credit line.
__________________________________________________________________________
Signature
Date
FOR USE OF SPECIALIZED COLLECTIONS
1. All patrons must sign and complete the guest book at the registration desk each day upon initial entry.
2. All researchers using specialized collections will complete the library registration form.
3. Only pencils may be used by researchers. Use of pens, highlighters, and other writing and/or marking devices is prohibited.
4. Smoking, eating and drinking are prohibited in all library and collections areas.
5. Arrangement of the materials is to be retained and all materials are to be treated with great care so as to avoid marking, folding, or damaging in any way.
6. All bags and packages are subject to inspection by staff before departure.
7. Damaged materials must be reported immediately to the Archives and History staff.
8. Use of mechanized copying equipment by patrons is prohibited in all library and microfilm rooms. Such equipment includes but is not limited to cameras, photocopiers, and scanning devices.
9. Use of cellular phones is prohibited.
10. Patrons will not apply self-adhesive removable notes, tape, paper clips, staples, or similar objects to any items in the collections.
11. When material from the specialized collections is used in a publication, broadcast, film, exhibition, etc., credit must be given as follows: "West Virginia State Archives." When a specific collection name is provided by Archives and History, that name must also appear in the credit line.
12. All photocopying is done by staff.
13. Conditions for the use of photographic copies and/or moving images footage are available on Forms #2, #3, and #4. It is suggested the researcher consult with the appropriate archivist for these collections about usage.
14. Notice: this material may be protected by copyright law (U. S. Code Title 17).