I give ,____________________________________________,
[interviewer/person doing the interview--please print]
permission to use my interview response for academic purposes. I am aware that these
responses may be used, including my name, in an essay that may be available to the public.
Print name: _____________________________________________________
[interviewee/person being interviewed]
Sign & Date: ____________________________________________________
[interviewee/person being interviewed]
I, the interviewer, promise to keep the response in context and not misrepresent it as I quote, summarize, and/or paraphrase the response in ways that best suit the assignment’s purpose and its audience.
Print name: _____________________________________________________
[interviewer/person doing the interview]
Sign & Date: ____________________________________________________
[interviewer/person doing the interview]