Research Request and Publication Permission Form

Your Information

Namerequired

First Name

Last Name

Lawrenceville School Affiliationrequired

eMail Addressrequired

Phone Numberrequired

Address

Address Line 2

City

State

ZIP / Postal Code

Request Information

If there is a deadline for your request, please enter it here:

Must contain a date in M/D/YYYY format

If you plan to visit the archives in person, please enter your proposed date here:

Must contain a date in M/D/YYYY format

Please describe your research request.required

For on-campus projects including exhibits, displays, brochures, programs, posters, video, slideshows, etc. please provide the following details:

Project Coordinator

First Name

Last Name

Project Coordinator's eMail Address

Project Coordinator's Phone Number

Billing Contact

First Name

Last Name

Billing Contact's eMail Address

Billing Contact's Phone Number

Proposed Project Budget

Publication Permissions

All researchers whose work may result in a publication in any media (print, film, audio, etc.) using Lawrenceville historical materials must attain project approval from the Lawrenceville School Communications Office before proceeding with research in the School Archives.

Outside Publication - This request is for a project that will result in publication outside the Lawrenceville School (additional information will be required).

Yes

Researcher's Namerequired

First Name

Last Name

Organizationrequired

Street Address

City, State, ZIP

eMail Addressrequired

Phone Numberrequired

Fax Number

Website Address

If Other, please define:

Anticipated Audiencerequired

Scholars

General Public

Other

If Other, please define:

Please describe your project.required

Anticipated Publication / Release Daterequired

Must contain a date in M/D/YYYY format

Please describe your project timeline by detailing significant dates / milestones.

Anticipated Number of Copies to be Printed / Duplicated / Distributed