JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Y-USA E-Records Transfer Info
Completing this information assists with the processing electronic materials in the donation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Contact Information for Y-USA Staff Person Transferring Records
Name
*
Your answer
Title/Department
Your answer
Phone Number
*
Your answer
Email
*
Your answer
2. Contact Information for Additional Information
Contact information for the person to contact if there are questions about this material (if different than above).
Name
Your answer
Title/Department
Your answer
Phone Number
Your answer
Email
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.
Report Abuse
Forms
