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Southern Chapter MLA Oral History Project Consent Form for Oral History Interview This confirms my understanding and agreement with the Southern Chapter of the Medical Library Association SC/MLA concerning my participation in an oral history interview as part of the SC/MLA Oral History Program. 1. I agree to be interviewed by on. I understand that my interview will be recorded and that a transcript and edited version of my interview will later be created* I understand that I will be given an opportunity to review and edit the edited transcript before its release on the SC/MLA web site http //scmla*org/home/oralhistory and other Chapter approved venues. 2. I hereby grant and assign all rights title and interest to any and all recordings and transcripts of my interview including copyright and all rights subsumed thereunder to SC/MLA. I will be given a copy of the edited transcript for my personal use. I understand that the transfer of these rights to SC/MLA confers no obligations on SC/MLA to promote market or otherwise make publicly available copies of the interview. 3. One or more edited and/or condensed versions of the interview approved by me may be disseminated by SC/MLA as it deems appropriate. 4. I understand that the original and edited recordings of my interview and the transcript s including digitized versions of those recordings will be maintained in the SC/MLA archives or at such other place as SC/MLA may reasonably designate and may be available to researchers who have demonstrated that they have appropriate qualifications. I further understand that the original unedited recording and/or the original/unedited transcript will be made available with the following restrictions Check one No restrictions The following specified portions of the interview will not be made available to anyone until. I agree to be interviewed by on. I understand that my interview will be recorded and that a transcript and edited version of my interview will later be created* I understand that I will be given an opportunity to review and edit the edited transcript before its release on the SC/MLA web site http //scmla*org/home/oralhistory and other Chapter approved venues. 2. I hereby grant and assign all rights title and interest to any and all recordings and transcripts of my interview including copyright and all rights subsumed thereunder to SC/MLA. 2. I hereby grant and assign all rights title and interest to any and all recordings and transcripts of my interview including copyright and all rights subsumed thereunder to SC/MLA. I will be given a copy of the edited transcript for my personal use. I understand that the transfer of these rights to SC/MLA confers no obligations on SC/MLA to promote market or otherwise make publicly available copies of the interview. I will be given a copy of the edited transcript for my personal use. I understand that the transfer of these rights to SC/MLA confers no obligations on SC/MLA to promote market or otherwise make publicly available copies of the interview. 3. One or more edited and/or condensed versions of the interview approved by me may be disseminated by SC/MLA as it deems appropriate.

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