STATEMENT OF CONSENT: DIA SUN STREAK PROJECT PARTICIPANT

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Body:  Approved For Release 2000LO IOa%XLA\FLP?6-00789R002600160024-1
 DEFENSE INTELLIGENCE AGENCY
 WASHINGTON, D.C. 20301-6111
 STATEMENT OF CONSENT
 DIA SUN STREAK PROJECT PARTICIPANT
 nta
 1.    (S/NOFORN/WNINTEL)   I                                                     rily
 DIA SUN STREAK PROJECT   D  P   an      ful
 accept assignment to the                                                         lY
 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  the        use  of
 psychoenergetics  methodology.    Development  of  DSSP        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.
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 Approved For Rely                  P 96-00789R002600160024-1
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 Approved For Release              ta"-00789ROO2600160024-1
 b.    (S/NOFORN/WNINTEL)    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 DSSP Manager or  in his absence,
 his designated acting DSSP Manager.
 3.    (S/NOFORN/WNINTEL)     As  a  participant  in  DSSP, 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 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
 noninstrusive  biomonitoring  activities  that  are  necessary  for
 project mission accomplishment.
 5.   (U)   I hereby acknowledge receiving formal counseling concerning
 my assignment to DSSP.   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 DSSP is voluntary and that at my
 request I may at any time be reassigned without       fear  of adverse
 personnel action.
 SGFOIA3
 SPEC'AL A&Jr=C r c lqc -r
 Approved For Release 200           4Z4M6-00789R002600160024-1
 Approved For Release 2000/08/08 : CIA-RDP96-00789ROO2600160024-1
 DATA REQUIRED BY THE PRIVACY ACT OF 1974  (5 U.S.C.   552a)
 1.   Authority:   Title  10,  U.S.C.  Section  8012;  Title   44,  U.S.C.,
 Section 3101 and EO 9397.
 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 2000/08/08 : CIA-RDP96-00789ROO2600160024-1