Audio/Video Recording Consent Form for Interviews

This form seeks your consent to record audio and/or video of your interview. Please read the following information and indicate your agreement.

Interview Details

Interviewer Name

Interviewee Name

Date of Interview

Location

I consent to the audio recording of my interview.

I consent to the video recording of my interview.

I allow the recordings to be used for research/publication purposes.

Comments or special requirements

Interviewee Signature

Date