{"id":18638,"date":"2015-02-20T17:06:16","date_gmt":"2015-02-20T22:06:16","guid":{"rendered":"https:\/\/getitright.pmss.net\/?page_id=18638"},"modified":"2021-09-09T17:03:29","modified_gmt":"2021-09-09T21:03:29","slug":"oral-history-release-form","status":"publish","type":"page","link":"http:\/\/staging.pinemountainsettlement.net\/?page_id=18638","title":{"rendered":"ARCHIVE FORMS Oral History Release Form"},"content":{"rendered":"

Pine Mountain Settlement School
\n<\/span>Series 00: ARCHIVE<\/span>
\nFORMS<\/span>
\nOral History Release Agreement<\/span><\/p>\n

ORAL HISTORY RELEASE\u00a0AGREEMENT<\/h2>\n

Pine Mountain Settlement School Archives & Collections
\n36 Highway 510, Pine Mountain, Kentucky 40810
\nPh: 606-558-3571<\/h4>\n

Pine Mountain Settlement School collects, preserves and makes accessible materials that document the history and culture of the School and surrounding community. Oral histories, video recordings, various multi-media recordings, and accompanying transcripts, photographic materials and documents provide rich documentation\u00a0for current and future scholars, genealogists, and researchers.<\/p>\n

Your signature on this document indicates your agreement to donate the recording of this oral history\u00a0as well as any accompanying materials (photographs, documents, transcripts, and any future formats) to Pine Mountain Settlement School to be placed in their permanent collection.<\/p>\n

Following your review of the oral history, and your signature on this document, it will be made available for use consistent with the mission of Pine Mountain Settlement School as directed by its Board of Trustees.<\/p>\n

Please read this document carefully and indicate any restrictive needs you may have. [For example, request notification of any public use of material.]<\/p>\n

Restrictions: ______________________________________________________________________________________________________________________________________________________________________________________<\/p>\n

I, ___________________________________________________herein permanently donate and convey the following oral history interview(s) ___________________________________________________________________________________________________and the following materials (if any) \u00a0______________________________________________________, to Pine Mountain Settlement School.<\/p>\n

In agreeing to this donation I understand that I am conveying all rights, titles, and interest in the intellectual property to Pine Mountain Settlement School, Pine Mountain, Kentucky. The oral history and any accompanying materials will be available for publication, in both written and digital form. In addition, Pine Mountain Settlement School grants me a nonexclusive license to utilize my interview(s) and\/or other material during my lifetime. Further, I grant Pine Mountain Settlement School the right to use my name and likeness in any future publication project.<\/p>\n

___________________________________ \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 ___________________________________________
\nInterviewee signature \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Interviewer signature
\n___________________________________\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 ___________________________________________
\nInterviewee street address \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Interviewer street address
\n___________________________________\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0___________________________________________
\nCity, State, Zip code \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0City, State, Zip code
\n___________________________________\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0___________________________________________
\nDate \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Date<\/p>\n

GO TO: LIFE HISTORY FORM<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Pine Mountain Settlement School Series 00: ARCHIVE FORMS Oral History Release Agreement ORAL HISTORY RELEASE\u00a0AGREEMENT Pine Mountain Settlement School Archives & Collections 36 Highway 510, Pine Mountain, Kentucky 40810 Ph: 606-558-3571 Pine Mountain Settlement School collects, preserves and makes accessible materials that document the history and culture of the School and surrounding community. Oral histories, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":114,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-18638","page","type-page","status-publish","hentry"],"yoast_head":"\nARCHIVE FORMS Oral History Release Form - PINE MOUNTAIN SETTLEMENT SCHOOL COLLECTIONS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/staging.pinemountainsettlement.net\/?page_id=18638\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ARCHIVE FORMS Oral History Release Form\" \/>\n<meta property=\"og:description\" content=\"Pine Mountain Settlement School Series 00: ARCHIVE FORMS Oral History Release Agreement ORAL HISTORY RELEASE\u00a0AGREEMENT Pine Mountain Settlement School\" \/>\n<meta property=\"og:url\" content=\"http:\/\/staging.pinemountainsettlement.net\/?page_id=18638\" \/>\n<meta property=\"og:site_name\" content=\"PINE MOUNTAIN SETTLEMENT SCHOOL COLLECTIONS\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pmsscollections\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-09T21:03:29+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/staging.pinemountainsettlement.net\/wp-content\/uploads\/2013\/10\/melv_II_album_077_mod.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"1838\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@pmsscollections\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/staging.pinemountainsettlement.net\\\/?page_id=18638\",\"url\":\"http:\\\/\\\/staging.pinemountainsettlement.net\\\/?page_id=18638\",\"name\":\"ARCHIVE FORMS Oral History Release Form - 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