Informed Consent for submitting content to Randolph-Macon College during COVID-19: Stories of the Pandemic
You are being asked to contribute your recollections, photographic images, video, social media postings or other digital content to the Flavia Reed Owen Special Collections and Archives of the McGraw-Page Library, Randolph-Macon College, which is creating a record of the 2020 COVID-19 pandemic.
You may only submit material created entirely by you and not copied from or based, in whole or in part, upon any other photographic, literary, or other material, except to the extent that such material is in the public domain, or you have permission of the copyright owner, or its use is allowed by "Fair Use" as prescribed by the terms of United States copyright law. If you would like to refer or nominate material which you do not own, please contact us at email@example.com.
You must be 18 years of age or older to submit material. By submitting content through this form, you are granting Special Collections and Archives, McGraw-Page Library, Randolph-Macon College permission to disseminate, preserve, and use that content publicly in connection with its educational and research mission, including promotional purposes, in all media in perpetuity. You retain ownership of and copyright in the material you share. If stories from the project are published as a compiled book, individual author permissions will be requested again before the works are included in the book.
If you indicate on the submission form that your submission is “public,” your material may be published on the web (with or without your name, depending on what you have indicated) as part of Special Collections and Archives, McGraw-Page Library, Randolph-Macon College collections or exhibits. Otherwise, your material will only be available for in-library research. You may choose to change your privacy designation or withdraw your submission at any time by contacting firstname.lastname@example.org.
Submitted material must not violate any confidentiality, privacy, security or other laws. Even if you have indicated your desire to keep your contributions private, under unforeseen and rare circumstances, we may be required by law to allow certain agencies to view your submissions and any information associated with the submissions (email address, descriptive information, etc.). Those agencies would include the Randolph-Macon College IRB, Office of Research Integrity (ORI) and the federal Office of Human Research Protection (OHRP). This is to make sure that we are protecting your rights and your safety.
The Flavia Reed Owen Special Collections and Archives, McGraw-Page Library, Randolph-Macon College, is not obligated to include your content in this project or preserve it in perpetuity. Decisions to decline submissions will adhere to the guidelines of McGraw-Page Library collection development policy.
The only risk associated with this project is the possibility of sharing deeply personal experiences relating to family, living and financial situations, emotional and psychological trauma, and possibly citizenship status. If you feel you need support as a result of your experiences, R-MC faculty and staff may contact Optima EAP for free, confidential counseling services at 800-899-8174 or 757-363-6777; 24 hours a day, 7 days a week. R-MC students may contact R-MC Counseling Services at 804-752-7270. There are no direct benefits anticipated for those who choose to contribute to this project, other than your knowledge that you have contributed to the historical record of COVID-19.
If you have questions, concerns, or complaints about this permission acknowledgement or would like to discuss other terms, please contact the principal investigator Dr. Nancy Falciani-White at NancyFalcianiWhite@rmc.edu.
For questions about your rights as a research participant, contact the Randolph-Macon College IRB Chair Dr. April Marchetti at email@example.com. You may also contact Dr. Marchetti if:
This form was adapted from a template created by the Society of American Archivists’s Tragedy Response Initiative Task Force to assist with the management of material acquired in response to a tragic event.