Sample Oral History Consent Form (Page 2 of 2) in pdf

Sample Oral History Consent Form Page 2

6. Any restrictions as to use of portions of the interview indicated by you will be handled by

editing those portions out of the final copy of the transcript. [Also state whether the original tape

will be edited, or only copies will be edited. Please note: In some projects the researcher may be

unwilling to edit the original tape. If this is the case, it should be clearly stated here.]

7. [Describe where the originals and copies will be housed, such as: Upon signing the deed of

gift, the tape, photograph, and one copy of the transcript will be kept in the Ellensburg Public

Library and a copy of the transcript will be kept at the Central Washington University Library. Or

if researcher will keep them, provide name and contact information, such as: Upon signing the

deed of gift, the tape, photograph, and one copy of the transcript will be kept in the possession of

John Doe, address, phone or email .]

8. If you have questions about the research project or procedures, you can contact [list

investigator’s name or faculty sponsor] at the Department of History, Central Washington

University, Ellensburg, WA 98926- 7553, phone number: 509-963-XXXX, or email:

If you have questions about your rights as a participant in research, you can contact the Human

Protections Administrator, Central Washington University, Ellensburg WA 98926-7401, phone

number 509-963-3115, website

Interviewer signature ____________________________________________

I agree to participate in this interview.

Interviewee Printed Name _____________________________________

Interviewee signature ______________________________________________

Address _________________________________________________________

Phone number ________________________________

Date ___/___/_____

Sample Oral History Consent Form Page 2