GUST 1270 INTERVIEW CONSENT FORM My name is: _______________________ and I am enrolled in College and Career Planning at HCC. My assignment is to interview someone who is currently serving in a career in which I am interested in. Therefore, I am requesting your permission to observe, interview and take your picture. I will only use the information in our interview to complete my assignment. My instructor will be the only person with a copy of the final project and will return it to me upon final marking. I agree to the following: ___ Personal Interview ___ Photo ___ On site Observation ___________________ Interviewee Signature ________________ Date