Release Form

I give permission for _________________________ (name of student) to use the tape recordings, the contents of this interview, and any future transcripts made from them for whatever scholarly or educational purposes may be determined

 _______________________________           ________________________________
Signature of Interviewee                             Signature of Interviewer

 _______________________________           ________________________________
Interviewee Name (print)                            Interviewer Name (print)

 _______________________________
Street Address

____________________________________________________________________
City                                       State                               Zip Code

Restrictions (if any):