Middlebury Oral History (MOH) Agreement — History of American Women

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for participating in the Middlebury Oral History Project.

By submitting the form below, you give your permission to be interviewed about your time at Middlebury College.

You may also indicate below if you consent for the interview to be recorded and for the recording and/or photographs made during this project to be archived in Special Collections where they will be cataloged and preserved for scholarly, research, educational, exhibition, and promotional purposes. These recordings may be used by members of the Middlebury College community for reunion-related productions.

You will retain copyright for all and any profit-making purposes during your lifetime.

Interviewee Name
*

Interviewee Email Address
*

Consent to Archival Use

Yes. I agree to the uses of interview recordings and/or related materials described above, except for any restrictions, noted below.

No. I do not agree to the uses of recordings and/or related materials described above.

Clear selection

Consent to provide online access to recordings

Yes. I give permission to Special Collections to provide online access to recorded interviews & related materials.

No. Special Collections may not provide online access to recorded interviews & related materials.

Clear selection

Additional requests, notes, or contact information

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Middlebury. Report Abuse

Forms