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This sample is a template from which a release form for translators and transcribers can be developed. THE RELEASE FORM SHOULD BE WRITTEN IN TERMS UNDERSTANDABLE TO THE SUBJECT (avoid or define technical terminology, adjust for educational background). Information provided in italics needs to be filled in and the italics deleted.

RELEASE FORM FOR TRANSLATORS AND TRANSCRIBERS

Principal Investigator: [NAME]
Department: [Department], University of Oregon
Project Title: [TITLE]

I understand that as a translator/transcriber working for [Principal Investigator] with the research related interviews we conduct and record, I am required to maintain and protect the confidentiality of the information divulged by participants of the interviews. I agree not to disclose the information gathered during the interviews to anyone other than the principal investigator. I agree also not to disclose the identities and information about the identities of individuals who participate in the interviews.

My signature confirms that I will abide to this agreement, and that I will preserve the confidentiality of all proceedings, information gathered and transcribed, as well as the identities of participants in the interviews.

Full name (please print): _____________________________________________________

Signed: __________________________________________Date: ___________________