Online Researcher Request Form

Research Application to Research at
The Woody Guthrie Archives

Please review our Research Policy before completing the application to research at the Woody Guthrie Archives below.

Please provide the following information (Fields in red are required):

Name:
Permanent Address:		Local Address:
Address (cont.):		Address (cont.):
City:		City:
State:		State:
Zip Code:		Zip Code:
Permanent Phone:		Local Phone:
Fax Number:		Local Fax:
Email Address:		E-mail Address:
Website:

Affiliation (Complete all that apply):

University/College Name:
	Faculty Staff Graduate Undergraduate
Name of Class:		Instructor:
Occupation:
Employer:
Title:
Address:

Research Request:

Statement of Research Topic:
Summary of Research Proposal (include approach, intended method, and how use of The Woody Guthrie Archives will support your work):

Intended use of research (Check all that apply):
Book	Radio Program	Television Program
Journal Article	Newspaper Article	Term Paper
Dissertation or Thesis	Exhibit	Other:

Use of information about you:
May we tell others the subject of your research?	Yes	No
May we tell others which materials you used?	Yes	No
May we add you to our Mailing List?	Yes	No

How did you learn of The Woody Guthrie Archives (Check all that apply):
Reference in published book	Reference in journal	OCLC Online Catalog
Teacher or Professor	Colleague	Archivist or librarian elsewhere
Television, radio, or newspaper	Brochure	Presentation by Woody Guthrie Archives

I AGREE that this is an application to conduct research at the Woody Guthrie Archives. I AGREE that accepted applicants will be contacted by the archivist to schedule an appointment for research at the convenience of both researcher and archivist. "Walk-ins" are not accepted.

Yes