STATEMENT OF CONSENT DIA STAR GATE PROJECT PARTICIPANT

CIA-STARGATE

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Body:  Approved For Release 2000/08/09 :  I -RDP96-00792R000600160004-1
 DEFENSE INTELLIGENCE AGENCY
 WASHINGTON, D.C. 20340-
 STATEMENT OF CONSENT
 DIA STAR GATE PROJECT PARTICIPANT
 1.   (S/NF/WN)  I,                                         voluntarily accept
 assignment to the DIA STAR GATE Project and fully understand
 that:
 a.   (S/NF/WN)  The DIA and DoD General Counsels have
 determined that the STAR GATE Project 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/NF/WN)  The aim of STAR GATE is to develop highly
 skilled personnel who are capable of conducting professional
 level intelligence/counterintelligence operations through the use
 of psychoenergetics methodology.   Development of STAR GATE will
 be accomplished with special training based on mission
 requirements.
 c.   (C/NF)  Assignments in STAR GATE 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/NF)  The primary consideration in any career
 development or assignment action will be STAR GATE 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,
 WARNING NOTICE-INTELLIGENCE
 SOURCES OR METHODS INVOLVED
 CLASSIFIED BY MULTIPLE SOURCES
 DECLASSIFY ON OADR
 Approved For Release 2000/08/0Q      DP96-00792R000600160004-1
 NOT RELEASABLE TO FOREIGN NATIONALS
 Approved For Release 2000/08/Q      - DP96-00792R000600160004-1
 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.
 b.   (S/NF/WN) I may temporarily choose not to participate in
 the project at specific times, or permanently discontinue
 participation without prejudicial effect.   Termination will be
 affected by notifying the STAR GATE Manager or in his absence,
 his designated acting STAR GATE Manager.
 3. (S/NF/WN)  As a participant is STAR GATE,  and IAW DoD
 Directive 5240.1-R,  I consent to tape recording, monitoring and
 transcribing of all training and operational interviews in which
 I am involved as an integral part of the STAR GATE mission.   I
 understand that these recording 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 inconjunction with
 STAR GATE, with the understanding that these tape recordings and
 transcripts are property of the United States Government.
 4.   (S/NF/WN)  I further consent to participate in any
 noninstrusive biomonitoring activities that are necessary for
 project mission accomplishment.
 5.   (U)  I hereby acknowledge receiving formal counseling
 concerning my assignment to STAR GATE.   Basic training and
 operational 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 the Commander,
 POG, or other appropriate project personnel relating to areas
 unclear to me.   I further understand that my participation in
 STAR GATE is voluntary and that at my request I may at any time
 be reassigned without fear of adverse personnel action.
 SIGNATURE:                                  SIGNATURE:
 Signature   (Witness)                        Signature (Participant)
 Name, Rank/Grade                            Name, Rank/Grade
 Social Security Number                  Social Security Number
 Position                                       Position
 WARNING NOTICE-INTELLIGENCE
 SOURCES OR METHODS INVOLVED
 Approved For Release 2000/08/09fP96-00792R000600160004-1
 NOT RELEASABLE TO FOREIGN NATIONALS