Outline and thesis statement for my research paper

Subculture Interview Release Form

I [respondent's name] hereby give my permission for [student's name] to interview me and quote my responses in a scholarly research paper.

I understand that this research paper will be submitted to a professor at California State University, Chico.

I understand that I waive any claim to copyright to this material should the student ever publish it in a scholarly journal or in electronic format online.

I understand that the author [will / will not] maintain my anonymity as a part of this interview.

I hereby give my permission in the form of my signature below.

Signature______________________ Date___________________________