Interviewee(s):___________________________________________________________

Interviewer(s): ___________________________________________________________

Address: _______________________________________________________________

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Place of Interview: _______________________________________________________

Date of Interview: ________________________________________________________

Recordist: ______________________________________________________________

Other People Present: ____________________________________________________

Other Fieldworker(s): _____________________________________________________

Recording Equipment Used:________________________________________________

Transcription Equipment Used: ______________________________________________

Transcribed by: __________________________________________________________

Subjects: _______________________________________________________________

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Forms (Release Forms, etc.): ______________________________________________

Photograph: ____________________________________________________________

Project Abstract:__________________________________________________________