Oral History Project - Informed Consent

This project involves research. The purpose of the research is to learn about people living in USM, Maine. Interviews are the main part of this project. You were asked to be in this study because you are a person who has lived in USM, Maine for at least ten years and is at least 18 years of age

Interview information

If you participate in this project:

Your risks and benefits

If you participate in this project:


Your rights

This project is voluntary. You do not have to answer any questions that you do not wish to answer. You may stop your participation at any time during the interview. If you do not want to be identified by name, we will assign you a number and you will not be asked specific questions about the identification of your parents or relatives. Your contact information such as address and telephone will not be disclosed to the public. If you choose not to participate it will not affect your relationship with the University of Southern Maine nor will there be any penalty or loss of benefits to which you are already entitled.

Deposit of materials

Participants may contact the project co-director, ______________, for pertinent questions about the research, at (207) 777-7777 or OOOOO@usm.maine.edu. For questions about your rights as a research subject you may contact: The Office of Research Compliance at the University of Southern Maine at (207) 780-4268 or TTY (207) 780-5646.

Yes____ No____ I consent to the use of my name.
Yes____ No____ I consent to be photographed.
Yes____ No____ I would like to review and edit the transcript prior to its use.
Yes____ No____ I consent to the deposit of the audio tape in the Oral History Archives of Maine and I understand that I will have to sign their Release Form.


I have read (or have had read to me) the contents of this consent form and I understand it. I have been encouraged to ask questions and I have received answers to my questions. I give my consent to participate in this study and I have indicated above my choices for participation or not in the certain activities of this study. I have received (or will receive) a copy of this consent form.

Name: (Please print) ____________________________________________
Address: ________________________________________________
Telephone: _______________________________________________

Signature: Date: _______________

 

Oral History Archives of Maine, University of Southern Maine
Oral History Interview Release Form

I,___________________________ , hereby convey to the Oral History Archives of Maine (hereafter referred to as “the Archives”), University of Southern Maine Library, legal title and assign all literary property rights, including copyright, which I may have in an interview recorded with me on ________________(date), in ________________ (city/state) as part of its USM, Maine oral history project.

The audio recording will be housed in the Archives as part of the Maine History Collection, to be available for research, and to be administered in accordance with the Archives’ policies. The Archives shall also have the right to use, reproduce, exhibit, or publish this material. It is understood that this agreement covers original recordings and any transcript or other reproduction of the originals made by the Archives.

This agreement does not preclude any use I may want to make of the information in the recording itself.

It is also agreed that a transcript will be deposited in the Maine History Collection at the Portland Public Library. The Archives shall retain copyright over this copy as well, and it may not be duplicated, published, or exhibited without permission of the Archives.

Signature: __________________________________ Date: ______________

 

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