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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

• Preparing for the classroom
• Paying attention
• Classroom discussions
• Presenting projects/speeches
• Taking notes in lectures
• Influencing teachers
• Guided notes
• Interviewing for class projects
  • Consent form ◄

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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 Website overview: Since 1996 the Study Guides and Strategies web site has been researched, authored, maintained and supported by Joe Landsberger as an international, learner-centric, educational public service. Permission is granted to freely copy, adapt, and distribute individual Study Guides in print format in non-commercial educational settings that benefit learners. Please be aware that the Guides welcome, and are under, continuous review and revision. For that reason, digitization and reproduction of all content on the Internet can only be with permission through a licensed agreement. Linking to the Guides is encouraged!