Application for the Physical Reading Rooms in Special Collections & Archives

The State of California Information Practices Act of 1977 (effective July 1, 1978) requires the University to provide the following information to individuals who are asked to supply information:

The principal purpose for requesting the information on this form is for administration of the use of Special Collections and University Archives. University policy authorizes maintenance of this information.

Furnishing all information requested on this form is mandatory. Failure to provide such information will delay or may even prevent use of Special Collections and University Archives. Information furnished on this form may be used by various University departments for identification purposes and will be transmitted to the State and Federal governments if required by law.

The person responsible for maintaining the information contained on this form is the Head, Department of Special Collections and University Archives.