STATEMENT OF CONSENT: DIA SUN STREAK PROJECT PARTICIPANT

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Body:  Approved For Release 2
 96-00789R002600160017-9
 DEFENSE INTELLIGENCE AGENCY
 WASHINGTON, D.C. 20301-6111
 STATEMENT OF CONSENT
 DIA SUN STREAK PROJECT PARTICIPANT
 SG1J
 Date: a r 1.   (S/NOFORN/WNINTEL)   I,                                       voluntarily
 accept assignment  to the D                                SP                                                                   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
 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  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
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 b,   (S/NOFORN/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/WNJNTEL) As a participant  in DSSP,    and  JAW
 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 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
 ofS( ftD%3e personnel action.
 Posit on
 Approved For Release    JG         rP96-00789R002600160017-9
 Approved For Relea                      6-00789R002600160017-9
 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 200
 6-00789 R002600160017-9