Charles W. Capps, Jr. Archives and Museum

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Please Check All that Apply:
DSU student	DSU grad student	DSU Faculty/Staff	MS Resident
Cleveland Resident	Out-of-State Visitor	International Visitor

If you are an employee of another University, College or govermental agency, please identify:

To enable us to suggest relevant sources, what is the topic of your research?

Have you identified a collection(s) you would like to use?
Yes	No
Do you plan to publish a book, artical or any other type of public format piece from this research?
Yes	No

If yes, please indicate collections and how you will use this information.


Please take a moment and complete these few survey questions: How did you learn about the resources held in the Archives?
Web Site	Teacher Instruction	News Article	Television
Newsletter	Bibliography Citation	Other

Will you return to the Archives for other research activities or recommend the Archives to other researchers?
Yes	No

General Archives Rules: 1. Only use a pencil in the Archives. No ink pens. 2. Please place all bags and additional equipment on the floor. Only collections should be on the table while conducting research. 3. Patrons are not allowed to scan or take photographs of materials unless authorized by the Archivist. 4. Copies can be made of materials with Archives staff supervision. Copies are 10 cents per page. See the Fees & Services for additional duplication requests. Please be aware of the Copyright Restriction warnings posted in the Archives. I understand that it is the responsibility of the Archives staff to preserve materials in the collections and that if I am careless or irresponsible in handling materials, I will be denied further access.

Charles W. Capps, Jr. Archives and Museum
662.846.4780
DSU Box 3137
Cleveland, Mississippi 38733