PERSONNEL SELECTION AND TRAINING PROCEDURES
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Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP96-00789R003300200001-3
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S
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Document Creation Date:
November 4, 2016
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October 21, 1998
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Case Number:
Publication Date:
October 18, 1993
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REGULATION
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'T PRG-TR-1065-SL
DEFENSE
INTELLIGENCE
AGENCY
PERSO11IlEL SELECTIOIl
AnD
TRRIIlIfG PROCEDURES
I8 OCTOBER 1993
STAR GATE
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PERSONNEL SELECTION
AND
TRAINING PROCEDURES
This document was prepared by the
Technology Assessment and Support Activity
Office for Ground Forces
Directorate for Military Assessments
National Military Intelligence Production Center
Defense Intelligence Agency
Date of Publication
18 October 1993
REPRODUCTION REQUIRES
APPROVAL OF ORIGINATOR
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ONLY AS DIRECTED BY DIA/PAG
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CLASSIFIED BY MULTIPLE SOURCES
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(U) PREFACE:
(S/NF/SG/LIMDIS) The purpose of this directive is to
describe the procedures to be used for personnel selection and
training of newly assigned personnel by the Technology Assessment
and Support Activity (PAG-TA). The directive further prescribes
the protocols, methodologies, and target selection process which
will be used to accomplish these tasks.
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PREFACE ................................................... i
GLOSSARY OF TERMS ......................................... 1
PERSONNEL SCREENING AND SELECTION ......................... 3
METHODOLOGIES ............................................. 6
TARGET SELECTION .......................................... 11
TRAINING PROTOCOLS ........................................ 12
APPENDICES:
APPENDIX A (Statement of Consent) ........................ A-1
APPENDIX B (Tasking Sheet) ............................... B-1
APPENDIX C (Report) ...................................... C-1
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I. (U) GLOSSARY OF TERMS:
A. (U) Beacon Remote Viewing is the use of a willing
individual who has agreed to visit an intended target site at or
close to the time of a remote viewing session. A beacon person
may somehow serve as a point of reference that assists the remote
viewer in accessing the target area via the remote viewing
process.
B. (U) Double Blind is the condition set whereby the
monitor who is involved in a remote viewing session does not have
any knowledge whatsoever of the target.
C. (C/NF) Evaluation is a written assessment by the
Project Officer of information a remote viewer has received
during a remote viewing session.
D. (U) Experiment is a test or tentative procedure
conducted for the purpose to discover if an individual has a
natural remote viewing talent.
E. (C/NF) Feedback is information about an intended
target. This is displayed to a remote viewer by the Project
Officer after a training project is completed and the information
is secured.
F. (U) Monitor is an individual who is present during a
remote viewing training session. This individual records the
data which is being collected by the remote viewer.
G. (C/NF) Project Officer is the individual who is
responsible for conducting a training project. He or she selects
the target, assigns it a number and then obtains the required
materials for remote viewing sessions, e.g. photos, maps. This
individual then tasks the trainee utilizing a form called a
tasking sheet. After the remote viewing session(s), this person
is responsible for providing feedback and an evaluation to the
remote viewer.
H. (U) Protocol is a template for conducting a structured
data collection session.
I. (U) Psychoenergetics is a mental process by which an
individual perceives, communicates with and/or perturbs
characteristics of a designated target, person or event remote in
space and/or time from that individual.
J. (U) Remote Viewer is a person who perceives,
communicates with and/or perturbs characteristics of a designated
target, person or event.
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K. (U) Remote Viewing is the name of a method of
psychoenergetic perception. This term was coined by Stanford
Research Institute (SRI) in the early 1970's. It is defined as
the acquisition and description, by mental means, of information
blocked from ordinary perception by distance, shield or time.
L. (C/NF) Report is a written summary of findings prepared
by the remote viewer following his or her session(s). This
report will indicate a project number, viewer identification
number, and the date of the session(s). This paper will also
include sketches or drawings of the intended target. This report
is given to the Project Officer in order that an evaluation can
be made of the information received.
M. (U) Selection refers to techniques useful for
identifying new personnel who possess a natural remote viewing
ability.
N. (U) Sender is an individual who mentally attempts to
transmit information about a target to a remote viewer.
0. (U) Session is a period of time dedicated to the
collection of information by the remote viewer.
P. (U) Target is the person, place or thing or event that
is the focus of a remote viewing task.
Q. (U) Target Pool is the development of targets selected
for their distinction and diversity. Targets can be photographs,
personalities, documents, and maps.
R. (U) Tasking Sheet is a simple form prepared by the
Project Officer which is given to a trainee prior to his or her
remote viewing session. This form will have the project number
of the target, the viewer's identification number, and the date
of the tasking. This form will also include an evaluation of the
information received by the remote viewer.
S. (U) Training Projects are remote viewing tasks assigned
to new personnel. They are not as complex as in-house
Proficiency Enhancement or Operational Projects.
T. (C/NF) Proficiency Enhancement Projects is a program in
which remote viewing sessions are conducted and information
results are measured against a known complex target.
U. (S/NF/SG/LIMDIS) Operational Projects are remote
viewing sessions which are conducted to collect information to
satisfy customer requirements.
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V. (U) Trial Run is the experimental action in order to
ascertain results.
II. (U) PERSONNEL SCREENING AND SELECTION:
A. (S/NF/SG/LIMDIS) A candidate applying for the position
of a remote viewer should be predisposed to performing this type
of function. The candidate should possess some background
knowledge about this field. The candidate should also be open
minded, positive, and possess a willingness to learn, grow and
explore. The implementation and follow-thru of selection
procedures is critical in order to insure that only the best
available individuals are hired for these key remote viewing
positions.
B. (S/NF/SG/LIMDIS) The candidate will be tested on his or
her aptitude and potential to perform in this function prior to
hiring. A special set of targets have been developed for
testing. Testing will be accomplished in two phases.
C. (C/NF) During the first phase, the target pool will
contain both dynamic (targets with motion) and static (still
photographs) targets. Dynamic targets consist of action pictures
while the static targets are a series of thematically related
still photographs. The target sets are divided into four
categories to include military, scientific/industrial,
natural/nontechnical, and projects.
D. (C/NF) Two factors are considered when choosing
targets. Within each category, targets are chosen because they
are thematic, interesting, and possess geometric elements that
can easily be drawn. Second, they are selected to be as distinct
as possible to insure for judging accuracy.
E. (S/NF/SG/LIMDIS) Several target packets are assembled
prior to the first phase testing period. To prepare a single
packet, the Activity Chief or a designated remote viewer randomly
chooses one target from each of the four categories. The targets
are individually placed into opaque envelopes and sealed. The
target packets are shuffled and locked in a safe. One of the
packets is selected by the Activity Chief or the designated
remote viewer for use during the initial session.
F. (S/NF/SG/LIMDIS) The initial testing session begins
with an introduction to remote viewing which is presented to the
candidate by either the Activity Chief or a designated remote
viewer. This introduction will include an historical overview
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of remote viewing and research that has been conducted in this .
field. This presentation will also include good and not so good
examples of remote viewing.
G. (S/NF/SG/LIMDIS) After a short break, the experimental
portion of the testing is initiated. The first phase of testing
requires that an individual acting in the role of a "sender" be
involved in the experiment. This individual is sequestered in an
isolated and closed room throughout the four phased trial series.
The "sender" is responsible for random target selection and
display during each trail run. While each trial run is in
progress, the sender views the selected target material and
mentally attempts to "send" the target information to the
candidate being tested. A monitor is also involved in the
experiment to insure for the security of the response and target
feedback to the candidate.
H. (S/NF/SG/LIMDIS) Before the series begins, the
designated remote viewer describes to the candidate what is
expected during the experiment. The designated viewer explains
the logistics of data collection and provides a short list of
hints on how to accomplish remote viewing. The candidate is
encouraged to write and/or draw their first impressions on the
provided single response sheet.
I. (S/NF/SG/LIMDIS) The sequence of events for each trial
run is as follows:
1. A one minute relaxation period is allowed during
which the candidate is encouraged to clear his or her
mind staying alert and relax as much as possible.
2. A single telephone ring (i.e. the sender does not
answer the phone) signals the sender to chose a target
randomly and view it continuously until further notice.
3. A five minute viewing period is allowed.
4. The data is collected and then secured in a large
envelope.
5. A single telephone ring signals the sender that the
viewing is completed and then he or she can come out of
the isolated room and display the target to the
candidate as feedback.
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6. A short break is allowed before the next trial
run begins.
J. (S/NF/SG/LIMDIS) During phase two, the targets are the
same but no "sender" is used. Before a training session begins,
the monitor selects the top opaque envelope from a randomly
ordered stack of envelopes. The monitor places that sealed
envelope in a separate and isolated locked room during the remote
viewing session.
K. (S/NF/SG/LIMDIS) The sequence of events for each trial
run is as follows:
1. After a brief relaxation period, the candidate is
instructed to describe the target with written words
and drawings.
2. A five to fifteen minute viewing period is allowed.
3. The data is collected from the candidate, secured
and copied.
4. The target is displayed for the viewer as feedback.
L. (S/NF/SG/LIMDIS) The candidate's responses to the
intended targets are judged by an independent designated remote
viewer who has been uninvolved with the experiment.
M. (S/NF/SG/LIMDIS) As background, the above described
method was developed by SRI in October 1989. A copy of the SRI
document was provided to DIA in order to assist this Activity
with a protocol for identifying and selecting personnel.
N. (S/NF/SG/LIMDIS) After a candidate is selected for a
position vacancy, he or she will sign a Statement of Consent
issued by DIA. This is due to the fact that the DIA and DoD
General Counsels' have determined that Project STAR GATE
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 to
the DIA for implementation. The Statement of Consent was
prepared in accordance with guidelines issued by the Department
of Health and Human Services. Specifically, guidelines under
Section 46.116; Subpart A, Part 46, Title 45, Code of Federal
Regulations were used to prepare the statement. (See Appendix A
for a copy of the Statement of Consent.)
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III. (U) METHODOLOGIES:
A. (S/NF/SG/LIMDIS) Remote Viewing is a highly controlled
and formally established unique intelligence collection
capability which has the following characteristics:
1. It is passive. To the extent of our knowledge,
collection by remote viewing is totally passive, that
is to say, it cannot be detected when used.
2. It is inexpensive. The principal cost of remote
viewing collection is the people involved. There is
little expensive hardware.
3. There is no known defense. Time, distance, target,
size or degree of difficulty all have no apparent
effect on collection by remote viewing.
B. (S/NF/SG/LIMDIS) As a result of SRI's technology and
research in remote viewing, this Activity adapted its approaches
and methodologies in 1979. An eclectic approach was taken, using
those methods which had applications potential for training, in-
house investigations and operational requirements.
C. (S/NF/SG/LIMDIS) These approaches/methodologies are as
follows:
1. (S/NF/SG/LIMDIS) Extended Remote Viewing (ERV)
draws on the expertise of over two decades of research
by independent investigators and recognized academic
institutions including the University of Virginia
Medical Center, the Maimonides Medical Center, the Mind
Science Foundation, the University of California at
Davis, Texas Southern University of Houston, Mundelein
College, Syracuse University, and others.
a) The ERV approach has as its goal the
subjective temporal extension of subliminally
brief psychic impressions. The trained ERV
percipient is able to control, observe and report
perceptions which would otherwise be ignored or
neglected fleeting images.
b) This extension of the perceptual window is
accomplished through the achievement of a discrete
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state of consciousness defined by identified state
dependent behaviors. These behaviors are regarded
as skills which the trainee must master.
c) The basic components of the ERV training
procedure involve the trainee in learning the
following skills:
1) Skill 1: The ability to physically
relax. Training in progressive relaxation
techniques, biofeedback and yoga.
2) Skill 2: The ability to reduce level of
physical arousal. Training in biofeedback
techniques, self-control exercises and
autogenic training.
3) Skill 3: The ability to attenuate
sensory input. Training in sensory
isolation, concentration exercises and
"centering devices."
4) Skill 4: The ability to increase
awareness of internal feelings and images.
Training in dream recall, guided visual
imagery exercises, subliminal recognition
drills and hemispheric synchronization.
5) Skill 5: The ability to engage
"receptive mode/right hemispheric
functioning. Hemispheric synchronization
training, biofeedback, mode recognition and
drawing classes.
6) Skill 6: The ability to achieve an
altered view of reality. Reading
assignments, intellectual study, meditation
and contemplation exercises.
7) Skill 7: The ability to communicate
remote viewing perceptions. Training in
right hemispheric verbalization techniques,
sketching techniques and practice in non-
analytic reporting.
d) Each one of these skills is trained over a
period of several weeks. When the trainee
demonstrates independent mastery of each skill, he
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then learns to combine the skills. The goal is to
simultaneously exhibit all of the learned skills
thereby achieving specified discrete state of
consciousness in which the trainee is able to
remote view.
e) Once the trainee is able to become a remote
viewer by engaging these learned skills, he or she
is then challenged to perform under controlled
conditions. This is done by presenting the
trainee with progressively complex remote viewing
tasks coupled with a reinforcement strategy
designed to develop self-confidence and to
internalize ego state stabilizing factors.
2. (S/NF/SG/LIMDIS) Coordinate Remote Viewing (CRV)
was developed by an SRI subcontractor in the early
1980's to satisfy R&D demands on SRI to enhance the
reliability (scientific replicability) of remote
viewing.
a) The subcontractor's approach to improving the
reliability of remote viewing was to focus on the
control of those factors that in his view tend to
introduce "noise" into the remote viewing product
which are identified as imaginative, environmental
and monitor overlays.
b) The basic components of this training
procedure consist of:
1) Repeated site-address (coordinate)
presentation, with quick-reaction response by
the remote viewer; coupled with a restrictive
format for reporting perceived information to
minimize imaginative overlay.
2) The use of a specially-designed,
acoustic-tiled, relatively featureless,
homogeneously-colored "viewing chamber" to
minimize environmental overlays.
3) The adoption of a strictly-prescribed,
limited monitor patter to minimize
interviewer overlays.
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c) CRV subdivides the detection and decoding of
psychic impressions into discrete achievable
skills known as stages one to six. The process
usually begins by presenting the remote viewer
with encrypted geographical coordinates, hence the
name CRV.
d) Encrypted geographical coordinates is a series
of twelve numbers or less selected from a random
program generator used to disguise a set of
geographical coordinates representing a specific
point on earth.
e) The applied CRV training procedure requires
that the trainee learn the progressive multi-stage
acquisition process postulated to correspond to
increased contact with the site.
f) Initially, the trainee is presented with
remote viewing sites requiring minimal detection
and decoding skills ("Stage One" sites). When the
trainee demonstrates an ability to control the
"signal line" and reliable "objectives" accurate
descriptions, the next "stage" of training is
engaged. This procedure continues through "Stage
Six" and usually takes a number of months to
master.
g) The CRV stages are identified below:
1) Stage One: Islands, mountains, deserts,
oceans.
2) Stage Two: Sites of quality sensory
value; sites which are uniquely describable
through touch, taste, sound, color or odor
such as glaciers, volcanoes and industrial
plants.
3) Stage Three: Sites possessing
significant dimensional characteristics such
as buildings, bridges and airfields.
4) Stage Four: Sites requiring qualitative
mental percepts such as technical area,
military feeling and research.
5) Stage Five: Sites requiring the
interrogation of qualitative mental percepts
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to produce refined information such as
aircraft tracking radar, biomedical research
facility and tank production plant.
6) Stage Six: Sites requiring direct,
three-dimensional assessment of site elements
to one another such as airplanes inside one
of three camouflaged hangers or a military
compound with a command building, barracks,
motor pool and underground weapons storage
area.
h) As Stage Six is engaged, an assessment of
relative temporal and spatial dimensional elements
along with further qualitative elements evolve
into the consciousness of the trainee.
i) The CRV procedure is fully documented in
booklet form which was published by SRI. Copies
of this booklet are maintained by this Activity
for training purposes. Of special note is the
fact that this booklet is governed by corporate
laws of propriety and as such may not be
reproduced or disseminated without permission by
the originator.
3. (S/NF/SG/LIMDIS) Written Remote Viewing (WRV):
In WRV, the remote viewer can perceive direct, detailed
information. WRV is phonetically and verbally oriented
and can be used in both the predictive and search
modes. The WRV process consists of utilizing a pen or
pencil and writing on paper information perceived. The
writing is a rapid and flowing movement initiated by
impulses to the autonomic nervous system.
4. (S/NF/SG/LIMDIS) Other Methodologies: After a
trainee has received training in the aforementioned
methodologies, he or she can receive additional
training in secondary methodologies as follows:
a) (U) Dowsing which is the search for
underground supplies of water, metal etc. by
the use of a forked stick known as a divining
rod.
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b) (U) Psychometry is the faculty of
receiving information concerning an object or
person associated with it, by contact with or
proximity to the object. Psychometry is also
known as Object Remote Viewing.
IV. (S/NF/SG/LIMDIS) TARGET SELECTION: There are generally
four areas of target selection for Training Projects and they are
as follows:
A. (S/NF/SG/LIMDIS) Project STAR GATE's training
program begins with Beacon Remote Viewing. In Beacon
Remote Viewing, a designated person acts as a "beacon"
and visits a selected site where he or she observes and
concentrates on key target features. At the same time,
the trainee attempts to describe key features of the
site. After the session and all reports are recorded,
the beacon person returns and takes the trainee to the
site for his or her feedback. Beacon Remote Viewing is
an excellent tool for training because the trainee is
taken to the site to actually see what they remote
viewed. The trainee receives rapid feedback and can
readily verify what was correct or incorrect in his or
her session report. Beacon Remote Viewing can
establish confidence quickly in the remote viewing
process.
B. (S/NF/SG/LIMDIS) After a series of Beacon Remote
Viewing targets are completed, the trainee will begin
to work geographical, fixed or global targets. These
types of targets can be anywhere and can be of
anything. However, the selected site should be
relatively unique and have clear distinct features or
aspects to minimize ambiguity. The target site can
emphasize natural or man-made features, or contain a
mix of these aspects. These targets permit operational
simulations since they contain easy to verify military
technical targets such as military facilities to permit
operational calibration and to evaluate feasibility of
certain types of potential projects.
C. (S/NF/SG/LIMDIS) Personalities involve the
trainee's ability to describe characteristics or other
aspects such as state-of-the-health of an individual.
The target personality can be male or female of any age
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or race. Results of this target pool permits
evaluation of a specific individual's capability for
projects that involve personalities, hostage status,
certain counterterrorism tasks or other.
D. (S/NF/SG/LIMDIS) Search is one of the most
difficult remote viewing tasks. It involves the actual
locating of individuals or equipment. Search is the
last phase of training because of its difficulty.
IV. (U) TRAINING PROTOCOLS:
A. (S/NF/SG/LIMDIS) For training purposes, a Project
Officer is responsible for selecting a target to include
obtaining and securing the needed materials in a sealed envelope.
He or she then assigns the target a number and tasks the
individual remote viewer trainee via a tasking sheet.
1. The tasking sheet, which is essentially a request
for information, will consist of a project number,
viewer identification number, and the date of the
actual tasking. The tasking sheet can also include
encrypted geographical coordinates for those viewers
being trained in the CRV methodology. This information
is filled out by the Project Officer and then given to
the remote viewer prior to his or her session(s).
2. The tasking sheet will also consist of an
evaluation and can include the date the project is
completed. This information will be filled out by the
Project Officer following the remote viewing
session(s). (A copy of the tasking sheet is at
Appendix B).
3. The tasking itself, should be minimal without
elaborating on information that could lead a viewer.
For example, the tasking sheet should only state,
"Describe site and activity," or "Describe
personality." It has scientifically been proven that
the less information given to the remote viewer, the
more accurate the information. The more information
given to a viewer, the less accurate the information
and the viewer will have a tendency to theorize.
B. (S/NF/SG/LIMDIS) Once the remote viewer has received
his or her tasking, he or she can begin to conduct their
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session(s). The remote viewing activity in a training mode
will utilize the Viewer/Monitor approach. This is a team
effort whereby a monitor records the information the viewer
is receiving.
C. (S/NF/SG/LIMDIS) Historically, an experienced remote
viewer has served as a monitor for a trainee. Experience in
working with remote viewers has shown that there are a number of
considerations, precautions and potential problems for which one
should be prepared.
1. (S/NF/SG/LIMDIS) First, when a monitor is present,
it is especially important to ensure that this
individual has no knowledge of target possibilities.
This is what is known as a double-blind. This
precludes the monitor leading the viewer.
2. (S/NF/SG/LIMDIS) Second, there is a strong
tendency to pick and choose information according to a
monitor's mental set and preconceptions. It is in the
act of interpretation that lies the ever present
possibility of misinterpretation.
3. (S/NF/SG/LIMDIS) Third, often times a monitor can
become quite frustrated with a remote viewer because of
the nature of the psychic information. It can seem
incomplete, sporadic and sometimes symbolic or even
irrelevant.
D. (S/NF/SG/LIMDIS) When a trainee has completed the
necessary sessions needed to collect the information, he or she
will then write a report of his or her findings. This report,
which is essentially a summary of information, will indicate the
project number, the viewer's identification number, the date of
the report and session(s) date(s). This report can also include
corresponding drawings or sketches of the target site. When the
report is completed, it will then be given to the Project Officer
for an evaluation to be made. (See Appendix C for a copy of a
report.)
E. (S/NF/SG/LIMDIS) Feedback on the actual target will be
provided to the trainee in conjunction with the evaluation. In
the training process, feedback is always immediate in order that
the trainee knows his or her level of accuracy.
F. (S/NF/SG/LIMDIS) After a trainee has received training
in Beacon Remote Viewing and has worked Proficiency
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Enhancement Projects and is of operational capability, he or she
can then act in the role of Project officer and monitor. The
reason for this is that by this time, the individual will have a
good understanding of target selection, and the proper skills to
evaluate the data.
G. (S/NF/SG/LIMDIS) Concurrent with training the trainee
will attend seminars, conferences, and meetings which will serve
to enhance one's remote viewing ability.
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STATEMENT OF CONSENT
STAR GATE PROJECT PARTICIPANT
1. (S/NF/SG/LIMDIS) I,
voluntarily accept assignment to the DIA STAR GATE (SG) project
and fully understand that:
a. (S/NF/SG/LIMDIS) The DIA and DoD General Counsels have
determined that the direct investigations of this 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/SG/LIMDIS) The aim of this project 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 skills will be accomplished with special training based
on mission requirements.
c. (S/NF/SG/LIMDIS) Assignments to this project are
governed by 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 involvements will be
available to project personnel, but otherwise protected under
project security measures.
d. (S/NF/SG/LIMDIS) 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 pattern, such
as 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. (S/NF/SG/LIMDIS) 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,
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psychological, and/or damage to participant's 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) 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) As a participant in STAR GATE, and IAW DoD Directive
5240.1-R, I consent to tape recording, monitoring and
transcribing of all training and operations interviews in which I
am involved as an integral part of the STAR GATE 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
project STAR GATE, with the understanding that these tape
recordings and transcripts are property of the United States
Government.
4. (S/NF) I further consent to participate in any nonintrusive
monitoring activities that are necessary for project mission
accomplishment.
5. (S/NF/SG/LIMDIS) I hereby acknowledge receiving formal
counseling concerning my assignment to project STAR GATE. Basic
training and operational procedures and their purposes, as well
as attendant discomforts, risks and benefits have been explained
to me. I further understand that my participation in project SUN
STREAK 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/Grade Name/Grade
Social Security Number Social Security Number
Position Position
T
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DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 552a)
1. (U) Authority: Title 10, U.S.C. Section 8012; Title 44,
U.S.C., Section 3101 and EO 9397.
2. (S/NF/SG/LIMDIS) Principal Purpose: To maintain a record
of those individuals who have executed statements of informed
consent as participants in Project STAR GATE.
3. (U) 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. (U) Mandatory or Voluntary Disclosure: Information is
disclosed on a voluntary basis, but withholding information will
render it impossible to grant an individual access or
participation in the program.
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opffieff-
1. PROJECT NUMBER:
2. VIEWER NUMBER:
3. DATE:
4. TASKING:
5. EVALUATION:
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1. PROJECT NUMBER:
2. VIEWER NUMBER:
3. DATE:
4. SESSION DATE(S):
5. INFORMATION:
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