Ohio Memory Online Submission Form

 
Note: This form is for describing small collections of a few items. The combined total size of the uploaded sample images should not exceed 5MB.

 
Contact Information
Name
Title
Organization
Street Address
Street Address (line 2)
City, State, Zip
,
County
Phone
Fax
E-mail
Web address (URL)

Authorizing Official
Name
Title

Contact Information to Appear on Ohio Memory Web Site
(if different from above)
Organization
Street Address
Street Address (line 2)
City, State, Zip
,
Phone
E-mail
Web address (URL)
2nd Web address (URL)

Collection Description
Collection or Item Name

What is the title of the item or group of related materials?
Date(s)

What year(s) do materials cover?
Collection Number

What is the acquisition, catalog, call, or other identifying number?
Author or Creator

Who wrote or created the collection?
Place of Origin

Where was it created?
Size, Extent or Number of Items

i.e. 1 volume, 50 pages, 5 items
Dimensions

i.e. 5" x 7", 3" x 5" (provide measurements for each item)

Historical Significance
Briefly describe the materials and the aspects of state or local history that they document. Include significant people, places, or events associated with the collection or item.

Provenance/History
Who owned the collection in the past? How was it acquired?

Ownership and rights
Items must be owned by the submitting institution. See more on copyright information.
Does submitting institution own the items being submitted?
Yes No
If yes, does institution hold copyright?
Yes No
If no, one of the following must apply:
Item is in the public domain (i.e. published before 1923 or author died before 1932).
Item is a public record.
Copyright holder signed a release. Please attach copy of deed of gift and/or copyright release.

Sample
Representative photocopies or snapshots.

Include a photocopy or photograph of a representative page or image. These cannot be returned.
Are samples attached below? Yes No
Will samples be sent separately? Yes No

Digitization
Scanning requirements are available online.
Who will digitize this item/collection?    
Submitting institution (must meet project specifications)    
Ohio Historical Society
Is this item framed or displayed under glass?
Yes No
If yes, can it be removed from the frame or case?
Yes No

Transcription
View more information on preparing transcripts of handwritten documents.
Is this item is handwritten or difficult to read?
Yes No
If yes, will you provide transcript in electronic format (i.e. Microsoft Word)?
Yes No

Other Information or Notes
If there is a catalog record or archival finding aid, please provide a copy. Use this space to provide any additional information.

File Attachments for Sample Images
1st File To Attach
2nd File To Attach
3rd File To Attach
4th File To Attach
5th File To Attach
6th File To Attach
7th File To Attach
8th File To Attach
9th File To Attach
10th File To Attach

Submitting this form with file attachments may take longer than usual and will depend on the size of the file(s) you attached. Please be patient and press the submit button only once. A confirmation screen will be displayed after the submission has been successfully uploaded.

Ohio Memory Project
Ohio Historical Society
1982 Velma Ave.
Columbus, OH  43211-2497
ohiomemory@ohiohistory.org

State Library of Ohio Institute of Museum and Library Services Ohio Public Library Information Network OhioLINK, the Ohio Library and Information Network Ohio Library Council Ohio Bicentennial INFOhio, the Information Network for Ohio Schools Ohio Historical Society