Recording Consent Form

I agree to participate in this study conducted and recorded by Rockefeller Archive Center staff.

I understand and consent to the recording of this session today.

I understand that the recording is for study purposes only and that my information will not be used for any other purpose.

I understand that the recording/s may be copied and used internally by Rockefeller Archive Center staff without further permission, and that recording file/s will be deleted upon completion of the final study report.

I understand that participation in this usability study is voluntary and I agree to immediately raise any concerns or areas of discomfort during the session with the study administrator.

Please sign to indicate that you have read and you understand the information on this form and that any questions you might have about the session have been answered.

Signature: ___________

Print your name: __________

Date: ______