I hereby certify that a tape-recorded interview with
me was conducted on _______________ by _________________________ for the
purposes of writing a class report for the Processes of Research &
Engagement course (CCT692) in the Graduate College of Education at the
University of Massachusetts, Boston in the xx semester, xx.
The following conditions (indicated by initials)
shall govern the use of the tape(s).
____
a. No restrictions
____
b. If a transcript of the
tape is made, I wish to read the transcript and make corrections and
emendations.
____
c. My permission is
required to quote or reproduce from the tape or corrected transcript (if
applicable).
____
d. Only if the class paper
is subsequently to be submitted for publication or used in the preparation of
any manuscript intended for publication do I need to be consulted, in which
case a new release form governing the use of the material must be provided and
signed by me.
____
e. Only if other scholars
want access to the tape or corrected transcript (if applicable) do I need to be
consulted, in which case a new release form governing the use of the material
must be provided and signed by me.
This constitutes our entire and complete
understanding.
Name
Signature
Date