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Interview Release Form

This interview release form documents an individual agreeing to have their interview used for educational purposes so long as their full name is not revealed. The form captures the project name, interviewer details, date, and location of the interview. By signing, the participant consents to having the audio/photo materials from the interview used by researchers and the public, but they can opt-out of certain uses by specifying them on the form.

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theMadCookie
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618 views1 page

Interview Release Form

This interview release form documents an individual agreeing to have their interview used for educational purposes so long as their full name is not revealed. The form captures the project name, interviewer details, date, and location of the interview. By signing, the participant consents to having the audio/photo materials from the interview used by researchers and the public, but they can opt-out of certain uses by specifying them on the form.

Uploaded by

theMadCookie
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Interview Release Form

Project name: __________________________________________________________________


Interviewer: ___________________________________________________________________
Tape number: ________________ Date: _____________________________________________
Interview site: __________________________________________________________________
Terms:
By signing the form below, you give your permission for tapes and/or photographs made during
this project to be used by researchers and the public for educational purposes including
publications, exhibitions, World Wide Web, and presentations. We will only use your first name
and photograph to identify you.
Participant Agreement:
I agree to the uses of these materials described above but I do NOT consent to the following:

Name (please print): _____________________________________________________________


Participant Signature: ________________________________________Date:_______________
Interviewer Signature: __________________________________________Date:_____________

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