Interview Contact Sheet/Cklist

INTERVIEWER:

PROJECT:

DATE OF INTERVIEW:

Interview Contact Sheet and Checklist

INTERVIEWEE INFORMATION

Name of Interviewee

Address

Telephone (home)

Telephone (work)

Date and Time of interview

Place of interview

Directions

Referred to project by:

Please complete this checklist and submit it along with all of your materials:

YES OR NO

Biographical Sketch and Family History

Interview Tape Summary Report

Informed Consent Form, signed

Deed of Gift Form, signed

Index

Letter of thanks

Other material (please specify)

Label all tapes, according to MHS format

Punch out the tabs on the tape

Number of tapes for this interview

Does the interviewee have photographs that we should/may copy? (Specify)

Does the interviewee have papers/records/artifacts that we should consider for Collections? (Specify)

Please place the labeled and de-tabbed tapes and the set of completed forms in a large envelope.

created 10/02/2000
last revised 10/02/2000

	INTERVIEWEE INFORMATION
Name of Interviewee
Address
Telephone (home)
Telephone (work)
Date and Time of interview
Place of interview
Directions
Referred to project by:

	YES OR NO
Biographical Sketch and Family History
Interview Tape Summary Report
Informed Consent Form, signed
Deed of Gift Form, signed
Index
Letter of thanks
Other material (please specify)
Label all tapes, according to MHS format
Punch out the tabs on the tape
Number of tapes for this interview
Does the interviewee have photographs that we should/may copy? (Specify)
Does the interviewee have papers/records/artifacts that we should consider for Collections? (Specify)