Community Memory Project

Item Contribution Form

Thank you for your contribution to the Miami-Dade Public Library System Digital Collection's Community Memory Project. Please provide as much information about your item(s) as possible. Fill out each section to the best of your knowledge, including specific details like names, dates, location of where the item is from, etc.

If you have any questions or need more information, please email SpecialCollections@mdpls.org.

Your Name

Parent/Guardian's Name (If contributor is under 18 years old)

Your Address

Your Email

Your Phone Number

Item Title

Date/Time Period

Location

Dimensions

Name(s) associated with item If photo submission, please list full names of pictured individuals from back to front, left to right

Brief description (2-3 sentences) of the item's importance and connection to Miami-Dade County's history

I voluntarily grant permission to the Miami-Dade Public Library System, its assigns, licensees, and legal representatives to copy, display, and distribute scanned materials submitted under my name for educational, marketing, and non-commercial purposes. Additionally, I authorize the incorporation of the scanned materials, in whole or in part, into derivative works including online publications and social media platforms

I am at least 18 years old or have permission of a parent or guardian and have read this agreement and its contents. (Contributers under 18 must obtain the signed permission of a parent or guardian).*

Date