Permission Form

I, __________________________________, give my permission to Alyx Davidson to use my written and spoken words in her ethnographic research project written for “Honors English 102” at Texas A&M University – Commerce. As President of this organization, I grant her permission to oversee and record the events and activities attended by members of Alpha Phi Fraternity on campus. I understand that she will be conducting her research during our proceedings and have been informed that I will have a final say in which information she may publish and which material must be withheld from the public. I am aware that I may request that a pseudonym be used and that I do not have to answer questions which make me uncomfortable or that are to remain confidential. I understand that by signing this form, I give permission for the interview and research to be used for the purposes stated above.

Do you agree to participate in the interview?                  YES    NO

Will you allow events to be recorded and analyzed?     YES    NO

Do you request that a pseudonym be used?                    YES    NO

Signed: _________________________________________

Date: ___________________________

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