Register No. 1.2 Accession No. AF A2017. Accession Form Donor. Source Information

Transcription

1 Register No. 1.2 Accession No. AF A2017 Accession Form Donor Source Information 2.1. Donor (The Name of who is donating the gift(s) ex. person, institution, etc.) Donor Type (To be filled out by Archivist) Creator (Who created the gift? Ex. Name of the artist, author, etc.) Please indicate if you are First Nations, Inuit or Métis (if applicable) Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 1

2 Please indicate your Community/First Nation (if applicable) Please indicate language: first, second, preferred First: Second: Preferred: Notes Name of person in whose memory this donation is made (if applicable) Contact Information (Address, and Phone Number) Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 2

3 Contact Information (Address, and Phone Number) Address: Phone: 2.2. Custodial History (How did the gift come to you?) Material Information Section 3.1. When was the gift made? Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 3

4 3.1. Date of Material (When was this artistic expression created?) Ceremony (Is there a ceremony that needs to happen when the gift is given, while it is being cared for, and when it is taken out to be seen by people?) Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 4

5 Cultural Protocols (Preservation are there any specific handling and/or caring for instructions?) Description: Would you like to give a description via videotape or audiotape to explain the history, story and importance of your donation, and what it represents? Y/N Description: Would you like to write out a description to explain the history, story and importance of your donation, and what it represents? Y/N. (Provide attachment) Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 5

6 Management Information Section Conditions for access. (Are there any cultural protocols that restrict access to the gift?) When the MMIWG Inquiry is finished its work, would you be willing to leave your gift with a trustee that will care for it according to the instructions given in this document? Can we contact you if we require any further information about your art or donation? What is the best way to contact you? If you are not available, can we contact someone else on your behalf (if so, can you provide their contact information)? Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 6

7 Do you consent to having your artistic expression publically accessible? No Yes (If yes, then complete a consent form and attach it to this document.) Sign Date: Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 7

8 1.2. Accessions No. Accessions Form Archive AF A2017- (To be filled out by Archivist) Identity Information Section 1.1. Repository Container Number Other Identifier Type Other Identifier Type Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 8

9 Other Identifier Value Other Identifier Note 1.4. Accession Title Spiritual or Sacred Status 1.5. Archival Unit Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 9

10 1.6. Acquisition Method 1.7. Disposition Authority Source Information Section Source Type Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 10

11 Notes Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 11

12 Material Information Section Extent Statement Type, Extent Quantity and Type of Unit, Extent Note Type of Extent Quantity Types of Unit Note Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 12

13 3.3. Scope and Content Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 13

14 Management Information Section 4.1. Storage Location 4.2. Rights Statement Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 14

15 Rights Statement Type Rights Statement Value Rights Statement Note Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 15

16 4.3. Material Assessment Statement Material Assessment Statement Type Material Assessment Statement Value Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 16

17 Material Assessment Action Plan Material Assessment Statement Note Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 17

18 4.4. Appraisal Statement Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 18

19 Appraisal Statement Type Appraisal Statement Value Appraisal Statement Note 4.5. Associated Documentation (Type, Title, Identifier, Note) Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 19

20 Associated Documentation Type Associated Documentation Title Associated Documentation Note Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 20

21 Event Information Section 5.1. Event Statement Event Type Event Start Date Event Agent Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 21

22 Event Note Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 22

23 6.1. General Note Archivist: Date: Our Women and Girls are Sacred / Nos femmes et nos filles sont sacrées Page 23