Recording consent form for interviews

(Recording) consent form
for interviews

I approach these questions unwillingly,
as they are sore subjects,
but no cure can be effected
without touching upon and handling them.
Titus Livius, Roman
59 BCE -17 AD

Copy the text below and paste it into a word-processed document. Then adapt it with your teacher and/or school authorities. See also "Interviewing for class projects"

Interview Consent Form

Project title
Course/Study #
City/County
State
Date

Summary explaining the project, faculty/sponsor signature, use of the interview, confidentiality, and disposition of the notes and recording (archive).

Yes	No	I give my permission for...
		this interview to be (audio/video) taped
		my name to be used
		the tape/transcript to be archived
		the information made public

(signature of interviewee)

(signature of guardian if person being recorded is under 18)

(signature of interviewer)

(date)

All questions regarding this project can be directed to
........................ (contact information)

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