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Interview Permission Slip

Allyson Jones

AllysonLee1@yahoo.com

281-813-1192

I understand that I am being interviewed and recorded for a research project conducted by

Allyson Jones for English 677 at Texas A&M-Commerce taught by Dr. Shannon Carter. I agree to

let her use the interview to write a paper for the class. It will not be used for any other purpose.

I have been informed that if I become uncomfortable at any time during the interview, I do not

have to answer questions or I can ask to have the tape recorder turned off. I am aware that I

can request that a pseudonym be used. I understand that by signing this form, I give permission

for the interview to be used for the purposes stated above. I understand that I will receive a

copy of the final draft of the paper.

Do you agree to participate in the interview VNO

Can the interview be recorded? @ NO


Should a pseudonym be used? YES @

Signed: tb---,,-=+-~ ----Ic-:::(.....,~Lr-L..L.....>oo<n eq--::'-f------


Date: ~--fF-'-"'-L-----,2=+--=20{ 0

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