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                           DEFENSE INTELLIGENCE AGENCY
                           WASHINGTON, D.C. 20301-6111
   STATEMENT OF CONSENT
   DIA SUN STREAK PROJECT PARTICIPANT
   SG1J Date:. N
   1. (S/NOFORN/WNINTEL) I, voluntarily
   accept assignment to the (DSSP) 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 the use of
   psychoenergetics methodology. Development of DSSP will be
   accomplished with special training based on mission requirements.
   C. (CINOFORN) 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.
   NOT nLYA IGN HILT10",W
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        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.
   SIGNATURE: SIGNATURE:
        SG1J
   Name, Rank/Grade'
   Social Security Number
   SG1J
   SGFOIA3
   CHI &@- '@@
   POSITION
   SGFOIA3
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   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.r
   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.
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