Interview Consent Form

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An interview consent form is used to secure an individual’s permission to take part in an interview. The consent form outlines the conditions for the interview, including the subjects to be discussed, the expected length, and whether the participant agrees to be audiotaped, video recorded, or photographed.

Interview Consent Form

An interview consent form is used to secure an individual’s permission to take part in an interview. The consent form outlines the conditions for the interview, including the subjects to be discussed, the expected length, and whether the participant agrees to be audiotaped, video recorded, or photographed.

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Last updated September 26th, 2024

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An interview consent form is used to secure an individual’s permission to take part in an interview. The consent form outlines the conditions for the interview, including the subjects to be discussed, the expected length, and whether the participant agrees to be audiotaped, video recorded, or photographed.

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Interview Consent Process (4 Steps)

The following is a general guide on obtaining permission to be interviewed via a written consent form:
 

1. Relay Interview Information

The interviewer must first enter the interview information into the consent form. These details will inform the participant about:

  • The date and location of the interview.
  • The estimated duration of the interview.
  • The purpose of the interview and the topics to be covered.

2. Provide a Mailing Address

Along with the interview details, the interviewer must provide an address where the participant can send written notice if they decide to withdraw their consent after signing.

3. Deliver the Consent Form

After the consent form is prepared, it must be presented to the participant for review. The participant will then need to enter their name and select the appropriate options to indicate whether they grant permission to be photographed or audio/video recorded.

4. Obtain Signature

The final step requires the participant to sign the consent form, indicating that they understand the provided information, agree to participate in the interview, and release the interviewer from liability.

Sample

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INTERVIEW CONSENT FORM

Interview Date: [MM/DD/YYYY] Approximate Duration: [APPROXIMATE DURATION]

Location: [INTERVIEW LOCATION]

This form documents your permission for [INTERVIEWER’S NAME] (“Interviewer”) to interview you for the purposes of [DESCRIBE PURPOSE OF INTERVIEW].

1. I, [PARTICIPANT’S NAME], agree to participate in the interview and provide permission to be recorded during the interview as outlined below: (check all that apply)

☐ – Audio Recordings. I consent to being audio recorded during the interview.
☐ – Video Recordings. I consent to being video recorded during the interview.
☐ – Photographs. I consent to being photographed during the interview.

2. I understand that any audio recordings, video recordings, and photographs taken of me during the interview may be published, displayed, and/or broadcasted in print, web, digital display, and all other forms of media.

3. I understand that I may withdraw my consent at any time without penalty by giving written notice to the Interviewer at [INTERVIEWER’S ADDRESS]. If I decide to withdraw, I understand that I can request the removal of my interview materials from any future publications, although it may not be possible to remove content that has already been published.

4. I understand that my name may be used and, depending on the information I provide, there is a possibility that the interview might cause loss of social status and/or embarrassment.

5. I have been told how the interview information, photographs, audio recordings, and/or video recordings will be used and the purpose of the interview.

6. I understand that I will not receive any benefit or payment for my participation.

7. I give permission for the interview materials to be used for any and all legitimate purposes, including advertising, trade, promotion, and exhibition, and for use by third-party media companies.

8. I understand that the interview materials become the property of the organization that creates and publishes such items, and I give up all rights to these materials.

9. I understand that it is impossible to control the use of photographs, audio recordings, video recordings, and interview information once these items are made public, and I understand that the Interviewer has no control over what others may do with them. Various postings may occur on internet websites, including YouTube, Twitter, Facebook, and so forth. These materials may continue to exist and be accessible in some form in the future.

By signing below, I confirm my understanding of the above information and release the Interviewer from liability from any claims, costs, expenses, and damages that might result from the interview information, photographs, video recordings, and/or audio recordings being used.

Participant Signature: _____________________________ Date: ________
Printed Name: _____________________________