Oral History Interview Consent Form

Interviewer Name:

Interviewee Name:

Date of Interview:

Project/Collection Name:

Consent to Participate

I understand that I am being asked to participate in an oral history interview. My participation is voluntary. I can refuse to answer any question or stop the interview at any time.

Recording and Use

I agree that this interview may be recorded and transcribed. I give permission for the content to be used for educational and research purposes as determined by the project organizers.

Confidentiality

I wish my identity to remain confidential. I give permission to use my name in connection with this interview.

Access

The interview may be made available to the public. The interview may only be used for research with my further consent.

Interviewee Signature:

Date:

Interviewer Signature:

Date: