STATEMENT OF CONSENT: DIA SUN STREAK PROJECT PARTICIPANT

CIA-STARGATE

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The document is a consent statement from a participant in the DIA Sun Streak Project (DSSP), which is a part of the defense intelligence agency. The participant voluntarily accepts the assignment and understands that the project involves experimentation on human subjects. The aim of the project is to develop highly skilled personnel who can conduct intelligence/counterintelligence operations using psychoenergetic methodology. The participant acknowledges that their career development and assignment opportunities may be affected due to their involvement in the project. The document also mentions the use of psychonenergetics, which involves individuals interacting psychically with objects, locations, and organisms. The participant understands that there may be risks involved during training and that they have the option to temporarily or permanently discontinue participation. They also consent to the tape recording, monitoring, and transcribing of all operational and training interviews. The participant acknowledges receiving counseling about their assignment and understands that their participation is voluntary. The document also includes data required by the Privacy Act of 1974, stating that the information will be retained within the program and that participation in the program is voluntary but the withholding of information will prevent access or participation.

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 Approved For Release 2000/                             "  89R002600160014-2
 DEFENSE INTELLIGENCE AGENCY
 WASHINGTON. D.C. 20301-6111
 STATEMENT OF CONSENT
 DIA SUN STREAK PROJECT PARTICIPANT
 25X9A5
 1.    (S/NOFORN/WNINTEL                                                 voluntarily
 accept assignment  to                                       SSP)        and  fully
 understand that:
 a.    (S/NOFORN/WNINTEL)   The  DIA and  DoD  General  Counsels         have
 determined  that  the  DSSP  constitutes  experimentation  on  human
 subjects.   As required by Procedure  13 of DoD Directive               5240.1-R,
 approval  for project  activities     has  been  granted    by the Deputy
 Secretary of Defense.
 h.    (S/NOFORN/WNINTEL)   The aim of the DSSP is to develop highly
 skilled personnel who are capable of conducting professional  level
 intelligence/counterintelligence   operations   through         use   of
 psychoenergetic methodology.   Development of DSSP personnel will be
 accomplished with special training based on mission requirements.
 c.    (C/NOFORN)    Assignments in   DSSP  are  governed  by    the
 sensitivity and degree of expertise required    for  the position. I
 will be assigned in accordance with my capabilities and experience,
 regardless of my rank or previous position.     Due to the nature of
 training involved,  the duration of my participation        is  indefinite.
 Records of my involvement will be available to project personnel,
 but otherwise protected under project security measures.
 d.    (C/NOFORN)    The  primary  consideration  in  any  career
 development  or  assignment  action  will  he   DSSP  mission  and
 operational  requirements.     I   understand   that  exemption,
 interruption,            or delay in normal career development patterns--such
 as   branch  schooling   and  assignment  opportunities--may prejudice
 future promotion and  assignment   potential..   I    have been assured,
 however,  that   every effort will be made to   preclude the  adverse
 effects listed above on my career.
 2.   (U)   PSYCIIOENERGETICS  (PE)  include various   processes        by which
 individuals              psychically interact  with  objects,  locations,  and
 organisms.
 a.    (U)           I understand that while there is no demonstrated risk
 of permanent or  temporary injury  (including physical,  psychological
 and/or  damage  to  participants' reputation)  to  project  personnel
 beyond risks             to which  they would  ordinarily be  exposed  in their
 daily lives, the potential for injury during some training cannot be
 conclusively ruled out.                                CLASSIFIED BY: DIA, DT
 Approved For Release 2bTA-~2
 TZf1iYl`t7_          DECLAS : OADR
 Approved For Release 2             AJRIDLc96-M789R002600160014-2
 b.   (S/NOF'ORN/WNINTEL)    I may  temporarily choose not  to  perform
 PE     at  specific  times,  or    permanently  discontinue participation
 without     prejudicial  effect.   Termination  will. be       affected  by
 notifying the DSSP Manager or      in his absence, his designated acting
 DSSP Manager.
 3.     (S/NOFORN/WNINTEL) As a participant  in DSSP,  and  IAW
 I  consent  to  tape recording,    monitoring and  transcribing of  all
 operational and   training  interviews  in which I  am  involved  as  an
 integral  part  of  the  DSSP  mission. I   understand  that  these
 recordings  are subject  to being monitored     and/or  transcribed  by
 third parties not otherwise involved in operations or     training.   I
 waive any claim or right of ownership to all        tape recordings and
 transcripts made  in  conjunction with DSSP,    with    the understanding
 that  these tape  recordings  and  transcripts  are     property  of  the
 United States Government.
 4.   (S/NOFORN/WNINTEL)    I  further 'consent  to  participate   in  any
 nonintrusive biomonitoring activities that are necessary for project
 mission accomplishment.
 5.   (U)  I hereby acknowledge receiving formal. counseling concerning
 my ass.ignment  to DSSP.   Basic  operational and   training procedures
 and  their  purposes,  as well as  attendant  discomforts,  risks,    and
 benefits have been explained to me.   I understand that I may at any
 time ask questions of project personnel relating to areas unclear to
 me.   I further understand that my participation in DSSP is voluntary
 and that at my request I may at any time be reassigned without fear
 of adverse personnel. action.
 25X9A5
 55,00  ,jO4I(sI q~ Q11
 T.1nlt jtrganization
 25X9A5
 Signature:
 Approved For Release 2000/08/08       Q,P,9~_n,R002600160014-2
 Approved For Release 200
 DATA REQUIRED BY THE PRIVACY ACT OF 1974  (5 U.S.C.   552a)
 1.   Authority:   Title 10, U.S.C.  Section 3012.
 2.   Principal Purpose:    To maintain a record of  those  individuals
 who have executed statements of informed consent as participants  in
 DSSP.
 3.   Routine  Uses:   The  Social  Security  Number  is to be  used  to
 identify  the  individual,  and  the  information  is  to  be  retained
 strictly within the program.
 4.   Mandatory or Voluntary Disclosure:   Information  is disclosed on
 a  voluntary  basis,  but  withholding  information  will  render    it
 impossible to grant an individual access to or participation in the
 program.
 Approved For Release 2000/08/0,L. QA-I,QPA-Wj$ 002600160014-2