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Community Archive Artifact Submission Form

1.Full Name(Required.)
2.Email Address(Required.)
3.Phone Number(Required.)
4.Please share your zip code(Required.)
5.What would you like to share with The DuSable Museum?

Please provide a general description of the object.(Required.)
6.Approximately how old is the object?

An estimate is okay. If you don't know, that is okay too.
7.Tell us about the object?

Tell us what makes this object meaningful to you, your family, your community, or the larger history of Black life and culture.
8.What do you know about its ownership history?

How did the object come into your family, home, collection, or community? Who owned or cared for it previously?
9.Who currently owns/cares for it?(Required.)
10.Can you personally and safely carry the object into and out of the Museum without assistance or specialized equipment?(Required.)
11.Upload photographs of the artifact.(Required.)
No file chosen
12.Would you be interested in recording an on-camera video testimonial with your object?
13.Would you be interested in recording an audio oral history about your object if selected to participate?
14.If selected, what days or times generally work best for you to participate in a Community Artifact Documentation Day at The DuSable Museum?

[Select all that apply]
15.May a member of The DuSable Museum contact you regarding your submission?(Required.)
By submitting this form, you are expressing interest in participating in A Call for Artifacts: The Black Community Archive.

Submission does not guarantee selection for an in-person documentation appointment or acceptance of an artifact into The DuSable Museum's permanent collection.

Please do not mail, ship, drop off, or bring an artifact to the Museum until you have been contacted by Museum staff and provided with a scheduled appointment. You do not need to live in Chicago to participate in this effort.

Participation in the documentation initiative does not transfer ownership of your object to The DuSable Museum. The DuSable Museum will not be assigning any financial or cultural value to your object.