Questionnaire 1

For Activists & Solidarity Organizations with Archival Material

Fill this out if you have material and records of 1) an organization or 2) an individual that supported African struggles for freedom. Also fill out this form if you know where a collection is deposited. Depository institutions with relevant collections should fill out Questionnaire 3.

Section One – Information on the Collection

The primary purpose of this questionnaire is to locate material that should be placed in a depository institution such as a library. Even if you have a small amount of material, such as from your college years, we want to hear from you. Also, you may know the location of material already in a depository institution.

The information in Section One will be used in the Directory of African Activist Archives once the material has been placed into an archive. It will also be used to create a public directory of organizations and individuals involved. Please provide as much information as possible and answer all relevant questions. You can provide additional information later. We reserve the right to edit material placed in the directories.

Before filling out this questionnaire we suggest that you look at preliminary Directory of African Activist Archives. You can write answers to longer questions in a word processor and cut and paste them into the questionnaire.

1.
Name of collection: (This can be either an organization’s name or the name of the individual who created the collection)
Organization's acronym, if any:
This collection relates to the activities of:
An organization An individual
Time period covered by material:
2.
Does this organization still exist? (Note: If this is the collection of an individual, you should provide contact information in Section Two of this questionnaire.)
Yes No
If NO, location where organization was based: (City, State)
If YES, please provide current contact information:
Organization:
Address:
City: State: Zip:
Phone: Fax:
Email: Web URL:
3.
Description of the organization: (such as student, church or community group, national organization, chapter of a national organization, etc. For example "student group at ABC College." If it was a coalition, please list the members. 250 words maximum.)
4.
U.S. area of operation: (Provide region, cities, states, or if national)
5.
Africa country focuses: (Angola, South Africa, Zimbabwe, etc.)
6.
Is/was this organization focused exclusively on Africa?
Yes No
7.
If an organization, give a brief history: Types of activities, campaigns, key players, key goals & achievements, etc.) 350 words maximum. If you wish to write more, please do so in a separate e-mail.)
Name changes: (If the organization changed its name, please give prior names and date of change.)
8.
If an individual, please give a brief biography and description of activities and achievements:
9.
Areas of activity: (Please check all applicable items.)
Struggles for independence (List countries)
Democracy & Human Rights (Provide countries and details)
Economic Justice (Provide details)
Provision of material or other assistance (Provide details)
Other (Provide details)
South Africa:
Divestment Bank Campaign Sports Boycott Cultural Boycott Sanctions Political Prisoners Forced Removals Labor Rights Others (Please specify)
10.
Type of material in the collection: (correspondence, newsletters, audio/visual materials such as photos, posters, recordings, etc.)
11.
Quantity of material: (single folder, number of boxes, cubic feet, etc. 100 words maximum.)
12.
Other information: (provide any information you feel is relevant not covered above. 200 words maximum.)
13.
Is this material already in a depository institution such as a library?
Yes No
If NO, location of the material:
If YES, name and contact of depository institution:
Organization:
Address:
City: State: Zip:
Contact Person:
Phone: Fax: Email:
URL:
URL of user guide/finding aid:

Section Two - Respondent Information

(This information is for use of the project only and will not be made public without your permission.)

1.
Name and contact information of person filling out this questionnaire:
Name:
Organization:
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
Cell: Fax: Email:
Comments:
2.
About yourself and your relationship with organization/individual/collection: (Examples "I was coordinator from 1975-1981" or "I was an active member" or "This is my personal archive” or “This is the archive of my cousin". 250 words maximum.)
3.
Are you willing to place the material in a library or other depository institution?
Yes No
4.
Can you assist in organizing the material?
Yes No
5.
Would you like our help is locating an appropriate depository institution?
Yes No
6.
Do you have suggestions for selected material to be microfilmed or digitalized for placement on the web? If so, please give a preliminary description: (250 word maximum.)
7.
Other individuals involved in the organization: (If you have more than one name to suggest, when finished filling out the form go to questionnaire 4.)
Name:
Organization:
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
Cell: Fax: Email:
Brief information about the person: (100 words maximum)
8.
If this is the collection of an individual other than the person filling out this questionnaire, please provide contact information for the individual who created the collection.
Name:
Organization:
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
Cell: Fax: Email:
Brief information about the person: (100 words maximum)
9.

For security purposes, please type the letters and numbers you see in the image above into this text box: