Registration form for appointment-only material (Library, Archives and Collections) Personal details Title: First names(s): Surname: Address: Telephone: Email: Status (please tick all that apply) MINSTER COMMUNITY UNIVERSITY MEMBERS ☐ Minster staff ☐ York Glaziers Trust staff ☐ Minster Community member ☐ Minster volunteer ☐ Friend of York Minster ☐ University of York staff ☐ University of York student ☐ Other university staff – institution details: ☐ Other university student – institution details: OTHER STUDENT STATUS ☐ York Diocese clergy ☐ PhD/DPhil/MPhil student ☐ Other clergy – details: ☐ Masters student ☐ Professional researcher ☐ Undergraduate student ☐ Private researcher ☐ FE/School student ☐ Author ☐ Member of depositor organization – organization details: Use of the Chapter of York Collections is subject to various copyright, condition of object, and security restrictions which will made available on registration. You will receive an anonymised feedback form with each appointment for collection-use evaluation. Charges may apply for Archives appointments. Signing this form indicates your awareness of these restrictions. UNDERTAKING AND DATA PROTECTION ACT DECLARATION As a condition of having access to records or manuscripts in the care of York Minster (hereafter ‘documents’), I undertake to abide by the Rules for Readers printed over, which I have read. I undertake to indemnify the Chapter of York and also the owners and former owners of documents against all claims and actions on the part of other persons arising out of the inclusion by me in any piece of work, or the disclosure in any other way, of any matter taken from any document which may be held to constitute a libel upon any person, or to be an infringement of copyright or data protection legislation, or to be a breach of confidence, or to constitute any other infringement or breach of either civil or criminal law. In accordance with the provisions of the Data Protection Act (1998), I understand that the personal data I have supplied above will be kept within York Minster and I agree that these data may be used for administrative purposes within the terms of the Data Protection Act. Signature: STAFF USE: ARCHIVES CHARGE: £________ ☐ 1 day ☐ 3 days ☐ 1 year Date: READER ID: EXPIRY DATE: STAFF INITIALS: