Liberty University
School of Education
M.Ed. in School Counseling
Permission to Tape
(Adult)
I,
, give my permission to
,
a student of Liberty University, to audio or video tape me to fulfill requirements in the counselor
education program in the School of Education at the university. I understand that this tape will be
used for instructional purposes, viewed/heard only by the site supervisor, instructor, and students
in the graduate course. I understand that after the tape has been reviewed, it will be erased.
Signature
Date