STATEMENT OF CONSENT: DIA SUN STREAK PROJECT PARTICIPANT

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Body:  Approved For Release 2000/                         002600160016-0
 DEFENSE INTELLIGENCE AGENCY
 WASHINGTON, D.C. 20301-6111
 STATEMENT OF CONSENT
 DIA SUN STREAK PROJECT PARTICIPANT
 SG1J
 Date : 2 8' r '"_
 1.   (S/NOFORN/WNINTEL) I                                        voluntarily
 accept assignment  to the                                        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.
 b.   (S/NOFORN/WNINTEL)   The aim of the DSSP is  to develop highly
 skilled personnel. who are capable of conducting professional  level
 intell.igence/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           be 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)  PSYCHOENERGETICS   (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
 FTTF?:ASABLE TO 'FOREIGN NATION.A.T DECLAS:   OADR
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 Approved For Release 20Q0/O      CPA-RTYP96-00789R002600160016-0
 b.   (S/NOFORN/WNINTTI.,) I may temporarily choose not  to  perform
 PU     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  TAW
 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/WNINTFI,)   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 assignment  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
 S(SdI`Prse personnel action.
 UnifOrganization
 Position
 Unit/Organization
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 Approved For Releas               I     P 6-00789R002600160016-0
 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 he    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 2000/0      ,.I ..      - $9R002600160016-0