Co-Creator Submission Form – Collecting COVID-19 Stories in Illinois

The Illinois History and Lincoln Collections (IHLC) unit of the University of Illinois Library is collecting evidence of Illinoisans’ experiences with COVID-19. This form is for co-creators when two or more people have contributed to donated materials, or if the individual submitting materials has interviewed anyone else in the course of their documentation. We require the permission of all co-creators of any submissions. Only one person needs to submit the file and complete the full submission form, but everyone who appears in the documentation or contributed to its creation needs to give their permission. This form is for co-creators to grant permission after the materials have already been submitted by another. Please contact the IHLC (ihlc@library.illinois.edu) with any questions. If you would like to submit your own materials, please complete a full submission form: https://go.library.illinois.edu/IHLCSubmissionFormCOVID-19

* Personal Information Agreement

I understand and agree that the submitted material may contain sensitive personal information about me, including personal health information, and that this information may be archived and disseminated as described below. I agree not to include personally identifiable information of (or information that could allow a third party to identify) other persons unless they have submitted a signed consent form.

* Submission Agreement

I hereby certify that I created, and own the copyright in, the submitted material. While I will continue to retain my copyright, I hereby grant to the Illinois History and Lincoln Collections unit of the University of Illinois Library a nonexclusive right to authorize all uses of these materials for non-commercial research, scholarly, or other educational purposes in accordance with a Creative Commons Attribution, Non-commercial license.