datamatters24/research-document-archive huggingface dataset:
Approved For Release
DP96-00789R0021 001 50053-5
SGFOIA3
RRTLL flame volunteer consent statement
i
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ssan
having attained my eighteenth
(18th)
birthday and otherwise having
capacity to consent,
do hereby volunteer
to participate
in GRILL FLAME,
a DOD
project to determine possible military applications
of
inherent psychic
abilities.
The following
items have been explained to me by^<W«ieie-«
.,(71:
and are set forth on the reverse side of this Agreement,
which
I have
initialed:
a.
The nature, duration,
purposes,
and expected benefits of the program
in which
I will be participating;
b.
The methods and means by which the program
is to be conducted;
any
methods and means that are experimental will be
identified as such;
c.
The
inconveniences,
hazards, discomforts,
risks
or other
effects on
my health or person which may possibly come from my participation
in the
program;
and
d.
The alternative procedures,
if any,
that might
be employed to protect
further my health and well-being.
I have been givenan opportunity to ask
questions concerning this project and any such questions have been answered
to my full and complete satisfaction.
I understand that
I may at any time
during the course of
this project revoke my consent and withdraw from the
study without prejudice;
however,
I may be requested
to undergo certain
further examinations,
if,
in the opinion of
a qualified physician,
such
examinations are necessary
for my health or well-being.
I was present during
the explanation referred to above,
as well as the
volunteer's opportunity for questions,
and hereby witness his/her signature.
I am not a participant
in the GRILL FLAME program.
CLASSIFIED
BY:
MSG, DAMI-ISH
REVIEW ON:
APRIL 2000
SECRET
NOT RELEASABLE TO FOREIGN
NATIONAJjiSL j__
«_
.
Approved For Release 2001/03/07
: CIA-RDP96-luraiMtf^
i
Approved For Release 2
P96-00789R0021 001 50053-5
,
Bwplanation
sss£~i£
— to them '
^
_
and means by
Explanatio„ of
*" experimental^
-^indication *
met!\. .conveniences, hazards, discomfort,
pro-
-
j ::ri-
——
3.
Description
(Standard)
a to pi
“*•' M °ther
iternative procedures
tha<.*#* »'j£S&P
t
Description of W.^tS!
M "one,
ytot?
teat further
the subs
volun teer.
(Standard)^?-
,
„f alternative advantages to v
rr
5 .
Description
.
, th as determined by a physician.^--
6.
status Of volunteer
s
ea
o£
the
rs]
1 eaClUGS
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10se
the esteem or
respect from^c“
s ider participati- ^
’;J°e
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in ^
S5E
such activities as
rn
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attention
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,
£ understand that as a par™*-
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.
x have
the ability
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The grilL
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br rut-taking situations suchas
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„
ho
f
u.
hny such assumption °
.
ioL
P
Such an assumption.
d on such
flame program
in no way sane
kind of experiment ha
exists that you
Sirr. to rttnrtr—
;
or
*“^ l0M ”hl°
Y
and answers.^
assumptions
answers.
by volunteer
and answer
^
»•
Ouestrons pos
o£ above paragraphs.
t-pr will initial end
NOTE:
Volunteer win
Approved For Release 2O0SM/of:
S
C?A-
SEORE.^
T0 FOREIGN NATIONALS
RDP96-00789R0021 001 50053-5
ae Approved For Release 2001/03/07 : CIA-RDP96-0078 DATE 9R002100150054- 9 fob. $1 GRILL FLAME SECURITY AGREEMENT — Py I, L purkilee cd. Ip chap , unders _'gensitive and class ed information I h receive as part of the GRILL FLAME Progr United States Government. I understand of this information is punishable under 798, U.S.C... "Disclosure of Classified I ag amended. tand that the highly ave, Or are about to am belongs to the that the disclosure Title 18, Section - nformation,” June 1948 I do solemnly swear that I will never divulge, publish, or reveal. by word, conduct, or by any other means such classified information or knowledge, except in the performance of my official duties, and as specifically aut in each case by the appropriate agency © Government. horized in writing f the United States I: understand that no change in my assignment or employment will relieve me of my obligation under this agreement and that. the provisions of this agreement wi upon me even after the termination of my United States Government. -T'take this obligation of my .own: free wi reservation or purpose of evasion. 11 remain. binding services with the 11, without. any mental. . DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 | U.S.C... 552a) 1. Authority: National Records Act, 44 9397, Numbering System for Federal Accou Individual Personsl, November 22, 1943. 2. Principal Purpose: To maintain a re U.S.C. 3102; E.O. nts Relating to cord of those individ- vals who have or have had access to GRILL FLAME information - through the use of their name and/or Soc 3. Routine Uses: The Social Security N to identify the jndividual, and the info retained strictly within the Program. 4. Mandatory or Voluntary Disclosure: disclosed on a voluntary basis, but with will render ‘it impossible to grant an in or participation in the Program. ‘ \ Approved For Release 2001/03/07 :. CIA-RDP96-00789R002100150054-2 ial Security Number. umber is to be used rmation is to be Information is holding information dividual access to ee a oo ccipm naumbneanyt ance sen emma eS rmartme wmaaa REE S S eee
OF PT ata TT ee Approved For Release 2001/06 FAG REP Po729R002100150058-0 INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS (S/NOFORN ) l. (S/NOFORN) Remote Viewing (RV) is the intellectual process by which a person perceives characteristics of a location remote from that person. It does not involve any electronic sensing devices at or focused at the target site, nor does it involve classical photo interpretation of photographs abtained from overhead op oblique means. 2, (S/NOFORN) RV has been performed by certain individuals successfully and we are confident other individuals can do it too. 3, (S/NOFORN) The general outline of RV procedures is at paragraphs six and seven of the AMSAA RV Protocol. &, (S/NOFORN) You as a reniote viewer may perform one or more types of RV. 5, (S/NOFORN) The maximum frequency you may be asked to perform RV is two sessions per day, but no more than three sessions per week. 6. ($/NOFORN) You may choose not to perform RV at a particular time without prejudice to further participation in this task, or you may discontinue participation permanently at any time without any prejudice. 7. (S/NOFORN) The purpose of this project is: a. To establish a program using psychoenergics for intelligence applications. b. Specifically utilizing that field of psychoenergics referred to as Remote Viewing. 8. (S/NOFORN) There is no evidence of any adverse physical, psychological and/or social effects on the remote viewer from participation in this activity. 9, (S/NOFORN) The confidentiality of your participation in RV will be maintained according to paragraph 14 of the AMSAA RV Protocol. AD fly 8 Date I was present during the explanation referred to above, as well as the participant's opportunity for questions, and hereby witness the participant's signature. Dydd bo. Ci 23 Mag 6 Signature Date Approved For Release 200 I MOTRELEAS'T 2) Pula BDP96-00789R002100150058-0 NATLONAL:
Approved For Release 2001/0
789R0021 001 50058-0
INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS
(S/NOFORN)
1.
(S/NOFORN)
Remote Viewing
(RV)
is the intellectual process by which
a
person perceives characteristics
of
a location remote from
that person.
It
does not involve any electroni c sensing devi ccs at
or focused at
the target
site*
nor does
it involve classical photo interpretation of photographs
obtained from overhead
or oblique means.
2.
(S/N0F0RN)
RV has been performed by certain individuals successfully
and we are confident other individuals can do
it
too,
3.
(S/NOFORN)
The general outline
of
RV procedures
is at paragraphs six and
seven of
the AMS AA RV Protocol.
4.
(S/N0F0RN)
You
as
a remote viewer may perform one
or more
types
of
RV.
3.
(S/N0F0RN)
The maximum frequency you may
be asked to perform
RV
is two
sessions per day,
but no more than
three sessions per week.
6.
(S/N0F0RN)
You may
choose not to perform RV
at.
a particular
time without
prejudice
to further participation
in this
task,
or you may discontinue
participation permanently
at any
time without any prejudice.
7.
(S/N0F0RN)
The purpose
of this project
is:
a.
To establish
a program using psychoenergi.es for intelligence applications.
b.
Specifically utilizing that field of psychoenergics referred
to as
Remote Viewing.
8.
(S/NOFORN)
There
is no evidence
of
any adverse physical,
psychological
and/or social effects
on the remote viewer from participation in
this activity.
9.
(S/N0F0RN)
The confidentiality
of your participation in RV will be maintained
according to paragraph
14 of the AMSAA RV Protocol.
I
was present
participant’s
signature.
during the explanation referred
to above,
as well
as
the
opportunity for questions,
and hereby witness
the participant
s
Signature
£/
Date
Approved For Release 20^.
flOXRELEAS/ITJ? 'itlfW
96-00789R0021 001 50058-0
SIONALi
Approved For Release 2001103 A AGIA-RDP96-00789R002100150059-9 ORCON /NOFORN INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS ee NE PARTICLE ANT 1. (S-ORCON) Remote Viewing (RV) is the intellectual process by which a person perceives characteristics of a location remote from that person; it does not involve any electronic sensing devices at or focused at the target site; nor does it involve classical photo interpretation of photographs obtained from overhead or oblique means. 2.  (S-ORCON) RV has been performed by certain individuals successfully and we are confident other individuals can do it too. 3. (S-ORCON) The general outline of RV procedures is at paragraphs six and seven of the AMSAA RV Protocol. 4. (S-ORCON) You as a remote viewer may perform one or more types of RV. 5. (S-ORCON) The maximum frequency you may be asked to . perform RV is two sessions per day, but no more than three sessions per week. 6. (S-ORCON) You may choose not to perform RV at a particular time without prejudice to further participation in this task, or you may discontinue participation permanently at any time without any’ prejudice. 7. (S-ORCON) The purpose of this project is: a. To establish a program using psychoenergics for intelligence applications. b. Specifically, utilizing that field of psychoenergics referred to as Remote Viewing. 8. (S-ORCON) There is no evidence of any adverse physical, psychological and/or social effects on the remote viewer from participation in this activity. CLASSIFIED BY:. MSG HQDA (DAMI-ISH) WASH DC dtd 7Jul78 REVIEW ON: 7 Jul 98 Approved For Release 2001/03/07 : 1s
Approved For Release s00 SE Esk pss-corsenooz1a01600se- 10. (S-ORCON) The confidentiality of your participation in RV will be maintained according to paragraph 14 of the protocol. I was present during the explanation referred to above, as well as the participant's opportunity for questions, and hereby witness the participant's signature. Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150059-9 A
CFPBFT
Approved For Release 200f»9rt
i?i *em-RDP96-00789R0021 001 50059-9
ORCON/NOFORN
INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS
1.
(S-ORCON)
Remote Viewing
(RV)
is
the intellectual
process by which
a person perceives characteristics of a
location remote from that person;
it
does not
involve
any
electronic sensing devices
at or focused at the target
site;
nor does
it
involve classical photo interpretation
of photographs obtained from overhead or oblique means.
2.
(S-ORCON)
RV has been performed by certain individuals
successfully and we
are confident other individuals
can
do
it
too.
3.
(S-ORCON)
The general outline of RV procedures
is
at
paragraphs six and seven of the AMSAA RV Protocol.
4.
(S-ORCON)
You as
a remote viewer may perform one or
more types of
RV.
5.
(S-ORCON)
The maximum frequency you may be asked to
.
perform RV is two sessions per
day,
but no more than three
sessions per week.
6.
(S-ORCON)
You may choose not to perform RV at
a
particular time without prejudice
to further participation
in this
task,
or you may discontinue participation permanently
at
any time without
any prejudice.
7.
(S-ORCON)
The purpose of this project
is:
a.
To establish
a program using psychoenergics for
intelligence applications.
b.
Specifically,
utilizing that
field of psychoenergics
referred to
as Remote Viewing.
8.
(S-ORCON)
There
is no evidence of any adverse physical,
psychological and/or social effects on the remote viewer
from participation
in this activity.
CLASSIFIED BY
REVIEW ON:
MSG HQDA (DAMI-ISH)
WASH DC dtd 7Jul78
7 Jul 98
_ i “Th Approved For Release 2001/03/07 : ClA-RDP96-00789R002100150080 7 Pe LAG + A GRILL FLAME SECURITY AGRE 4 . f ; I, ac ay . fC Fox understand that the highly sensitive and classified information I have, or ape about to receive as part of the GRILL FLAME Program pelongs to the United States Government. I understand that disclosure of this information ig punishable under Title 18, Section 798, U.S.C. "Disclosure of Classified Information," June 1948 as amended. TL do solemnly swear that I will never divulge, publish, or reveal by word, conduct, or by any other means such classified information or knowledge » except in the performance of my official duties, and as specifically authorized in writing jn each case by the appropriate agency of the United States Government. I understand that no change in my assignment or employment will relieve me of my obligation under this agreement and that the provisions of this agreement will remain binding upon me even after the termination of my services with the United States Government. I take this obligation of my own free will, without any mental reservation or purpose of evasion. DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 5528) 1, Authority: National Recoras Act, 44 U.S.C. 3102; H.0. 9397, Numbering System for Federal Accounts Relating to Tndividual Persons, November 22, 1943. 2, Principal Purpose: To maintain 4 record of those individuals ‘who have or have had access to GRILL FLAME information through the use of their. name and/or Social Security Number. . 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 4 voluntary basis, put withholding information will render it impossible to grant an individual access to or participation in the Program. Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150060-7
tee ;_ ~ Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150060-7 GRILL FLAME,SECURITY AGREEMENT CONTINUATION PAGE ’ DATE § falls 1974 a, WI mM. mes usd ,VS Dew? NAME, RANK/GRADE 1Pe/ TAc/ LSE) O2D Tae UNETO UNIT/ORGANIZATION tkobs Analy st [LLUSTRAT= a : POSITION POSITION Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150060-7 7 aro mt
Approved For Release 2001/03/07
: CIA-RDP96-00789R002100150060-7
DATE:
. £
tj_7/7
grill FLAME SECURITY AGREI
./
z
i
to^receiv'TaTpart of the
and classified infermawon
i
® * states Government.
I understand
GRILL FIAME Program belongs to the
isliable under Title 18, Section
that disclosure of this ^formation
P
t
„ June 19U8
as amended.
708
U.S.C.
"Disclosure of Classmen
x
nuhlish,
or reveal
"by vord,
I do solemnly swear that
I will J^I^iasBified information or knowledge,
conduct , or by any other ”e“VeffiSTdSies ,
and as specifically
SriSdTn
by the appropriate agency of the Una
States Government.
.
#
f
I understand that no change in my
^ pro^iSoSs of'this agreement
my obligation under this agreement and that
of
ray services with
vill remain binding upon me even alter v
the United States Government.
.
free will, without any mental reservation
I take this obligation of my own free will,
or purpose of evasion*
DATA REQUIRED BY THE PRIVACY ACT OF 19T^
(5 U.S.C.
552a)
.
lit
TT 3
C
3102:
E.0.
939T , Numbering
1.
Authority:
National
^
ec°^t^’ to
Individual Persons, November
22,
19^3-
System for Federal Accounts Relating to mu
a
ihncjp individuals who have
- -
e”frac^ro
:GHr^1hfo^on through ,he use of their name
and/or Social Security Sumber.
3 .
Routine Uses:
/u^^^^^b^etai^strictl^ within the Program,
individual,
and the information is to
Tn-Pnrmation
is disclosed on a
4.
Mandatory or Voluntary
render
it impossible to
voluntary basis, but withholding «£™ation
^ progran .
grant an individual access to or particip
understand that the
^
®*n ®
Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50060-7
*
Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50060-7
GRILL FLAME/SECURITY AGREEMENT CONTINUATION PAGE
P
Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50060-7
es “t (- i 1 i Approved For Release 2004/03/07. ; C/A-RDP96-00789R002100150062-5 pate: £E2 3 9TF GRILL FLAME VOLUNTEER SECURITY AGREEMENT SGFOIA3 t 1. (U) I, S re pHEAS . heaped: ; con: a understand that the highly sensitive and classified informati e or am about to receive as part of the CRILL FLAME Program belongs to the United States Government. I understand that disclosure of this information is punishable under Title 18, Section 798, U.S.C. "Disclosure of Classified Information," June 1948 as amended. 2, (U) I do solemnly swear that I will never divulge, publish, or reveal i vy word, conduct, or by any other means GRILL FLAME classified information or knowledge, except in the performance of my official duties, and as specifically authorized in writing in each case by the appropriate agency of the United States Government. 3, (U) I understand that no change in my assignment or employment will relieve me of my obligation under this agreement and that the provisions of this agreement will remain binding upon me even after the termination of my services with the United States Government. h, (S$) I take this obligation of my own free will, without any mental reservation or purpose of evasion. I understand that as a GRILL FLAME volunteer the fact that I possess psychic abilities is classified and I cannot divulge this fact by word, conduct, or by any other means. Cera EF WITNESS : Macerce CHIKES CQu9S us ARw NAME, RANK/GRADE oSAUNPD [roe / ENASCOWA UNIT /ORGANIZATION or POSITION — POSTTION Approved For Release 20011031097 - CLA-RDP96-00789R002100150062-5 aa 4
Approved For Release 2001/03/07 : CIA-RDP96-00789R002100150062-5 DAYA REQUIRED BY THE PRIVACY ACT OF 197) (5 U.S.C. 552a) 1. Authority: National Records Act, bh U.S.C, 3102; E.0. 9397, Numbering System for Federal Accounts Relating to Individual Persons, November 22, 19h3. 2 Principal Purpose: To maintain a record of those individuals who have or have had access to GRILL’ FLAME information through the use of their name and/or Social Security Number. es: The Social Security Number is to be used to identify the ind the information is to be retained strictly within the Program. fe s Ga eal < jee fan 4h, Mandatory or Voluntary Disclosure: Tnformation 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 2001/03/07 : CIA-RDP96-00789R002100150062-5
Qir.r-'
?
i
Approved For Release 200d /Q3/07
q|a-RDP96-00789R0021 001 50062-5
DATE
:
B,
GRILL FLAME VOLUNTEER SECURITY AGREEMENT
SGFOIA3
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SSAN: -
understand that the highly sensitive and classified inrormauic
am about to receive
as part of the GRILL FLAME Program belong to the
nni+pd States Government.
I understand that disclosure of this
information
STSSiSSS SIS Title 18, Section 798,
U.S.C.
"Discloaure of Claasrfred
Information,” June 19^8 & s amended.
(U)
I
do solemnly swear that
I will never divulge, publish,
or reveal
% word, conduct, Z by any other meane GRILL FLAM classified information
or knowledge,
except in the performance of my official duties,
. and
specifically authorized in writing in each case by the appropriate agency
of the United States Government.
(U)
I understand that no change
in my assignment
or employment will
relieve me of my obligation under this agreement and that ^e provisions
Of this agreement will remain binding upon me even after the termi
of my services with the United States Government.
4.
(S)
I take this obligation of my own free will, without any mental
reservation or purpose of evasion.
I understand that
as a GRILLFLAME
volunteer the
fact that
I possess psychic abilities
is classified
cannot divulge this fact by word,
conduct,
or by any other means.
WITNESS
:
,
Mao 12-vcG Cvl-AlH^S
NAME , RANK/GRADE
os A\ \ Eh /Ghd.
K
UNIT /ORGANIZATION
-AoArL-V ST
POSITION
Approved For Release 2001/0
SIGNE
/me; rank/g^ade
/t/k\ /o$D
_
UNIT/OR^ANIZATipN
~
POSITION
;CI£-RDP96-00789R0021 001 50062-5
Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50062-5
DATA REQUIRED BY THE PRIVACY ACT OF 197
H
(5 U.S.C.
552a)
Authority:
National Records Act,
44 U.S.C.
3102;
E.O.
9397 , Numbering
System
for. Federal Accounts Relating to Individual Persons, Novembei
--
o-
Pri-nMual Purpose:
To maintain a record of those individuals who have
or have had access to GRILL' FLAME information through the use of
their n
and/or Social Security Number.
o
Routine Uses:
The Social Security Number
is to be used to identify
the
individual, and the information
is to be retained strictly within
r
g
Mandatory or Voluntary Disclosure:
Information
is disclosed on
voluntary balls, but withholding information will render
it impossible to
grant
an individual access to or participation in
the Program.
Approved For Release 2001/03/07
: CIA-RDP96-00789R0021 001 50062-5
nara | Approved For Release 200 Hie RDP96-00789R002100150063-4 ORCON/NOFORN — INFORMATION ABOUT REMOTE VIEWING FOR PARTICIPANTS 1. (S-ORCON) Remote Viewing (RV) is the intellectual process by which a person perceives characteristics of a location remote from that person; it does not involve any electronic sensing devices at or focused at the target site; nor does it involve classical photo interpretation of photographs obtained from overhead or oblique means. 2. (S-ORCON) RV has been performed by certain individuals successfully and we are confident other individuals can do it too. 3.. (S-ORCON) The general outline of RV procedures is at paragraphs six and seven of the AMSAA RV Protocol. 4. (S-ORCON) You as a remote viewer may perform one or more types of RV. 5, (S-ORCON) The maximum frequency you may be asked to perform RV is two sessions per day, but no more than three sessions per week. 6. (S-ORCON) You may choose not to perform RV at a particular time without prejudice to further participation in this task, or you may discontinue participation permanently at any time without any prejudice. 7. (S-ORCON) The purpose of this project is: a. To establish a program using psychoenergics for intelligence applications. b. Specifically, utilizing that field of psychoenergics referred to as Remote Viewing. 8. (S-ORCON) There is no evidence of any adverse physical, psychological and/or social effects on the remote viewer from participation in this activity. CLASSIFIED BY:: MSG HQDA (DAMI-ISH) WASH DC dtd 7Jul78 REVIEW ON: 7 Jul 98 Approved For Release 2001/03/07 : 1s eneneeaeeenae eEP DE
. | Se pm omy mm | Approved For Relelaeé Dooubds CIANRES596-00789R002900220001-6 d. (U) SOURCE 079: (1) (U)- DOI: 22 Jan 91. (2) (S/NF/LIMDIS) DATA SUMMARY: - Function of the site seems to be flight or space associated (possibly in a control or satellite communication sense): © Advanced technology involved. Objects/structure association: o Many small round objects involved --~sense of floating or suspension. o A tall, narrow object is present that may have a large ball-shape on top. 4.  (U) REMARKS: a. (S/NF) Area may be associated with assembly/repair and possibly with a control role: Possibly air defense. May have an “obscurant” aspect (via or obscurant generation). concealment, b. (U) This target can be reexamined to focus in on main area of interest. Approved For Renae ee ER EP Ravens 00 7P2RO02200220008 -6