Application

Application for Data Use

1. I hereby request permission to examine the following Data:

2. Digitized materials will be delivered through our on-line system. Non-digital materials may be examined on-site for no cost, or may be digitized on demand for a fee (we will contact you with an estimate). Please refer to our Dataverse catalog for format availability.

3. I agree that if permission is granted, I will use the Data for the following purpose(s) and for no other purpose

4. A brief summary of my proposed areas of inquiry is provided below

(if you are applying for a Murray Archive grant, you only list the grant for which you are applying here)

Applications cannot be approved without proposal.
(If applying for a Murray Archive grant, the grant proposal will suffice.)

I estimate that I will complete my project by

5. In using this data set I agree to abide by the following restrictions:

a.I hereby acknowledge that I have read the Memorandum of Agreement between the Henry A. Murray Archive, Harvard University and Data Contributors and Exhibit A relating to the Data requested.

b. I will honor all agreements and conditions made: (1) between the Contributor of the Data and the participants, and (2) between the Contributor of the Data and the Henry A. Murray Archive, Harvard University, (the "Archive"). These agreements and conditions are set forth in the Memorandum of Agreement between the Henry A. Murray Archive, Harvard University and Data Contributors, including Exhibit A thereto.

c. I will not knowingly divulge any information that could be used to identify individual participants in the study and I agree to use such precautions as are reasonably necessary to prevent such identification. If I suspect that I might know a study participant, I will immediately inform the Archive staff. If I recognize a study participant in the course of my research I will immediately ask the staff to remove that participant's data, and I will not use or retain a copy thereof.

d.I understand that prior written permission of the Director of the Archive is required for me either to reproduce any portion of the Data or to allow any other person or institution to examine the Data.

e.If any portion of the Data is to be published, I will place such copyright notice to protect the Data as may be required by the Director of the Archive.

f. When reports and/or publications are generated, I will make appropriate acknowledgment of the contributor as well as the Archive for use of the Data, and will include the citations listed under "How to Cite" in the data documentation.

g. I will send to the Archive one electronic copy and one "hard" copy of any report or publication based directly or indirectly on use of the Data.

h. Reproducing Research Materials (the Data): If this application includes a request for reproduction of any portion of the research materials listed above, I agree that the reproduction is to be made solely for my convenience in examining the research Materials for scholarly purposes; that it is to be returned upon completion of my work, but not later than 12 months after I receive the Data; that the reproduction will not itself be reproduced; and that it will not be examined or transferred to any other person or institution without the prior written permission of the Director of the Archive. I agree to return all Materials to the Archive upon completion of the proposed research project, but not later than 12 months after I receive the Data. (If the Materials are needed for the research project for an additional time period, written permission must be first obtained from the Director of the Archive.)

BY TYPING MY NAME IN THE SPACE LABELED “SIGNATURE” BELOW (WHICH SHALL CONSTITUTE MY SIGNATURE) AND BY CLICKING ON THE “I AGREE” BUTTON BELOW, I CONFIRM (A) THAT I HAVE READ AND UNDERSTOOD EACH AND EVERY TERM SET FORTH ABOVE, (B) THE ABOVE REPRESENTATIONS AND THE INFORMATION I PROVIDE BELOW ARE ACCURATE, (C) THAT I HAVE THE AUTHORITY TO SIGN THIS FORM , AND (C) I AGREE TO BE BOUND BY THE ABOVE TERMS AND CONDITIONS, (D) AGREE NOT TO REPRODUCE ANY OF THE DATA, IN ANY FORM, WITHOUT PRIOR EXPRESS WRITTEN CONSENT OF THE DIRECTOR.

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