UASC Donation Information UASC Donation Information Form If you are human, leave this field blank. Check this box if you are a member of the UMass Boston Archives staff. Your Name (for UMass Boston Archives staff members only) * Were you given a number by the UMass Boston Archives staff to enter while filling out this form? * Yes No Enter that number here. * First Name * Last Name * Email * Mailing Address Mailing Address Mailing Address Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone Number Donor name: Who is donating the collection? * Provenance: Include information about the origins, custody, and ownership of an item or the collection. * Indicate the type of records or materials being donated. * University records Organizational records Personal papers: produced while doing research, etc. such as an artist, author, or photographer Collected materials: materials on a subject or topic, may include ephemera and drawn from diverse (and often unknown) sources OtherOther Name of the creator of the collection: This is the individual, group, or organization that is responsible for the production, accumulation, or formation of the collection. * How are the materials organized? * Chronological and/or alphabetical Reorganized or altered by someone other than the creator No known order I don't know OtherOther Tell us more about how the materials are organized. What are the approximate dates of the materials in the collection? Examples include "circa 1972-2008" or "1990s." * Contents of collection: What kinds of materials does this collection include? * Administrative records Artwork Audio cassettes By-laws Correspondence Digital files Financial records Flyers Journals/Diaries Minutes Movie film like 16mm, etc. Newsletters Newspaper clippings Notes Photographs Publications Reports/Surveys Research materials Scrapbooks Video cassettes OtherOther Biographical/Historical Note: Please add a short description (less than 500 words) that places the materials in context and provides basic information about the materials' creator or author. For individuals, the biographical/historical note may include date and place of birth, full and variant forms of the name, occupations, significant accomplishments, places of residence and work, family members, and date and place of death. For organizations, this note may include the date the organization was established, date the organization ceased activity, the mission statement, and highlights of activities. Do you have an inventory for these materials? * Yes No Upload the inventory * Drop a file here or click to upload Choose File Maximum upload size: 52.22MB Are you a member of the UMass Boston Archives staff? Yes No Accession Number Collection Number Donor name Additional Staff Notes This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit