Consent to Use Name
This form is solely for participants of the Oral History Project who have been interviewed by a member of the Waterloo Centre for German Studies.
I, _______________________________, understand that the University of Waterloo wishes to use information from an interview I participated in that was conducted as part of the Waterloo Centre for German Studies’ Oral History Project.
I hereby grant the University of Waterloo the following permissions:
To include my name: __________ yes __________ no
To keep my identity anonymous: __________ yes __________ no
Date: _________________________________________
Name: ________________________________________