Video Recording Interview Consent Form

This consent form is intended to inform you of your rights and obtain your permission to record the upcoming interview via video recording.

Purpose of Recording

Use of Recording

Your Rights

• Participation is voluntary, and you may withdraw consent at any time.
• You may request access to the video recording.
• You may request to stop the recording at any point during the interview.

If you have any questions about this consent form or the interview, please contact:

Consent

I have read and understood the information above. I voluntarily agree to participate in the interview and give permission for the interview to be video recorded as described.

Participant Name Interviewer Name

Participant Signature

Date