John Harashinski Interview Consent Form

Item

Oral History Consent Form

Informed consent and copyright permission for oral history interviews, images, and personal documents

Participant’s name: John Harashinski

Mailing address: 250 Burr St. Ext., Barnegat, NJ 08005

Phone and/or email: (609) 276-6859

(please print)

I voluntarily agree to be interviewed for this historical study of the experiences at Washington and Lee University. I understand that the following items may be created from my interview:

• an edited transcript and summary

• a photograph of me

I understand that my interview (and other items above) may be distributed to the public for educational purposes, including formats such as print, public programming, and the Internet.

Also, I agree to freely share my interview (and other items above) under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. This means that I retain the copyright, but that the public may freely copy, modify, and share these items for noncommercial purposes under the same terms, if they include the original source information.

Any exceptions to this agreement [such as a request for anonymity] must be listed below:

Permission granted:

A close up of a logo

Description automatically generated Participant's signature and date:

April 24^th, 2020

Interviewer's signature and date:

April 24, 2020

Title: John Harashinski Interview Consent Form
Creator: John Harashinski
Date: 2020-04-24
Description: Interview consent form from Mock Convention 2020's political chair.
Type: Document/Text
Source: John Harashinski
Subject: Washington and Lee Mock Convention Documents - 2020
Rights: In copyright - educational use permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/

Item sets: Washington and Lee Mock Convention Prediction Process for 1980 versus 2020

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Media: John Harashinski Consent Form