North Carolina Department of
Cultural Resources
SURVEY
OF N.C. CULTURAL REPOSITORIES
State Library of
North Carolina
PART A: NAME AND
ADDRESS OF REPOSITORY
1. Name of institution:
___________________________________________________________________
2.
Department or unit title:
___________________________________________________________________
3. Mailing
address of institution:
3a.
Street/P.O.: ___________________________________________________
_______________________________________________________
3b.
City:
_________________________________________________________
3c.
County: ________________________ 3d.
State: _________ Zip___________
4. Street Address, if different from
above:
4a.Street:________________________________________________________
4b.City:
____________________________4c.Zip_________________________
5a.
Phone: ____________________________
5b.Fax: _________________________
6.
Web Address of home page: ______________________________________________
7.
Person in charge of your
institution’s historical records program or collection:
7a. Department or unit
head:_________________________________________
7b. Position title: __________________________________________________
7c. Phone ________________________
7d.Fax _______________________
7e. E- mail (if available)
_____________________________________________
PART B: INSTITUTIONAL INFORMATION
1. Briefly characterize your institution (mission statement) [attach if necessary]:
2. Which of the following best describes your
institution? (circle all that apply):
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2a. Archives
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2b. Art Museum
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2c. Children’s Museum
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2d. Corporate
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2e. Denominational
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2f. Genealogical Society
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2g. Historic House Museum
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2h. History Museum
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2i. Library/Special Collection
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2j. Science Museum
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2k. State Historic Site
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2L. State/Federal
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2m. Other (please
describe)
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3. Year department or unit was founded:
PART C: COLLECTIONS
1. Does your institution have a written acquisition policy
(collection development policy) identifying the kinds of materials it accepts
and the conditions or terms that affect these acquisitions? (circle one):
1a.
Yes (if so, please attach copy.) 1b. No
1c. Comments:
2. What is the date range of your holdings?
2a.
(Earliest) ______________________ to 2b. (Latest)_______________________
3. What is the date range for the largest area
of your collection (circle):
3a.
Prehistoric 3b.
Pre-Columbian 3c.
1500-1800
3d.
19th century 3e.
20th century
4. Please indicate what types of media your institution currently holds and what types you
are actively collecting (circle all that apply):
Record type Currently hold Actively collecting
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Paper records
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1a
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1b
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Photographs
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2a
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2b
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Architectural
drawings, blueprints
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3a
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3b
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Maps, plats
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4a
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4b
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Sound recordings
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5a
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5b
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Video Tapes
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6a
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6b
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Motion picture film
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7a
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7b
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Microfilm/microfiche
(“record” copy)
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8a
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8b
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Computer media
(tapes, diskettes, CD-ROMs)
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9a
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9b
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Optical disks
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10a
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10b
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Art objects
(Paintings, works on paper, sculpture, decorative arts, ceramics, etc.)
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11a
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11b
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Artifacts
(archaeological, historical, utilitarian objects, natural history objects)
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12a
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12b
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Other (specify)
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13a
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13b
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5. What is the general condition of the
archival/special collection materials you hold in
your
collections?
5a. Good 5b. Fair 5c. Poor
6. Comments concerning condition of
archival/special collections items?
7. Please indicate which subject areas are especially strong in your archival/special collections and those in which you are focusing
your acquisition efforts (circle all that apply):
7a.
Not applicable
7b. Records Collections (Including Photographs)
Records Subject Areas Current strength Actively
collecting
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African Americans
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1a
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1b
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Agriculture
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2a
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2b
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Arts and
Architecture
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3a
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3b
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Business/industry/manufacturing
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4a
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4b
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Civil War
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5a
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5b
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Education
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6a
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6b
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Environmental
affairs/natural resources
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7a
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7b
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Genealogy
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8a
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8b
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Labor
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9a
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9b
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Local History
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10a
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10b
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Medicine and Health
Care
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11a
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11b
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Military
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12a
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12b
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Native Americans
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13a
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13b
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Politics,
Government, Law
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14a
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14b
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Religion
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15a
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15b
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Revolutionary War
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16a
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16b
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Science and
Technology
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17a
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17b
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Social
service/charitable organizations
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18a
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