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Patron Item Form
Please fill out for each item scanned for a patron.
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* Indicates required question
1. Patron Name
Your answer
2. Patron Contact Info
email or physical address
Your answer
3. Donate digital copy to Archives/Library?
Yes
No
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4. Filename
*
Your answer
5. What kind of item is it? (Photograph, postcard, map, letter, etc.)
Your answer
6. Is the item published?
Yes
No
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7. Is the patron the creator?
Yes
No
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8. If no, who created it?
Your answer
9. What time period or date does the item refer to?
Your answer
10. Who is depicted in the item?
Your answer
11. What place(s) are depicted in the item?
Your answer
12. What is the subject of the item?
Your answer
13. Are there any further details from the patron?
Your answer
14. Display in DLG?
Yes
No
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15. If displaying in DLG, how can this item be reused by others?
In copyright
In copyright, okay to use for educational purposes
No copyright
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