The Grandparent/Elder Project

Consent Form

I,______________________________(narrator/elder) and _________________________(interviewer/ student), give The Urban School of San Francisco permission to use the tapes and interviews conducted during this oral history program. The interviews will be made available for historical, scholarly, and educational purposes as determined by the twentieth Century History students and teachers.

This agreement may be revised or amended as noted by the mutual consent of the parties undersigned.

________________________________   Dated _____________________
Signature of Narrator

________________________________   Dated _____________________
Signature of Interviewer

________________________________   Dated _____________________
Signature of Librarian

________________________________   Dated _____________________
Signature of Teacher