This is an example of an interviewer release form. This form was used by Dr. Paul Sandul for an
oral history project concerning the local African American Heritage project. Important points to
note: who holds copyright, where materials will be held, listing of potential uses, release of
liability, and restrictions.
INTERVIEWER RELEASE FORM
I, ___________________________________, do hereby irrevocably release, assign, give and convey
to Stephen F. Austin State University (“University”) any and all right, title, and interest, including
any copyright or intellectual property interest, in the interviews conducted by me as listed below (the
“Interviews”). I understand that the Interviews will be deposited in the East Texas Research Center
(ETRC) for the use of future scholars and may be used for any lawful purpose in all forms and media
including but not limited to public presentations, audio or video documentaries, CD-ROMs, internet
publications, slide-tape presentations, exhibits, and advertising and related promotion through the
world in perpetuity. I expressly authorize disclosure of the Interviews to meet these purposes to the
extent that the Interviews would be considered an education record under federal law.
List of all interviewees: ___________________________________
___________________________________
___________________________________
___________________________________
I release University and its assigns, licensees and successors from any claims that may arise
regarding the use of the Interview including any claims under federal privacy laws including the
Family Educational Rights and Privacy Act (FERPA), defamation, invasion of privacy, or
infringement of moral rights, rights of publicity, or copyright. I acknowledge that I have no
ownership rights in any work developed as a result of the Interview.
I certify that I am over the age of eighteen (18), have read and fully understand the terms of this
agreement.
Signature of Interviewer & Date: _____________________________________________________
Address of Interviewer: _____________________________________________________________
_________________________________________________________________________________
Contact Information of Interviewer: ___________________________________________________