Oral History Consent Form

This sample oral history consent form emerged from our thinking about “Who Owns Oral History? A Creative Commons Solution” in this book. Readers are welcome to be adapt and modify this form for their own purposes.

[Insert title of] Oral History Project

Informed consent and copyright permission form

I voluntarily agree to participate in an oral history video interview about [insert general topic, such as: my memories and experiences about schooling, housing, and civil rights in the Hartford region.] I can choose to pause, stop, or erase the recording at any time during the interview. Afterwards, I grant permission for the oral history video recording, with my name and a summary or transcript, to be distributed to the public for educational purposes, including formats such as print, public programming, and the Internet. Under this agreement, I keep the copyright to my interview, but agree to share it under a Creative Commons Attribution—NonCommercial 4.0 International license (BY-NC). This allows the public to freely copy, remix, and build on my interview, but only if they credit the original source and use it for non-commercial purposes. In return, the interviewer will send one free copy of the interview recording, and summary or transcript, to my address below.

Name:

Mailing address:

Phone and/or email:

Signature:

Date:

If younger than 18, parent/guardian signature:

Interviewer’s signature (to agree with copyright ownership by interviewee, with CC license):

Questions? [Insert project director(s) name and contact info, plus project website]

Keep one signed copy for project files and offer one copy to participant for their records

On The Line is copyrighted by Jack Dougherty and contributors and freely distributed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International license.