Interview Preliminaries / Necessary Forms:
(Please write on the back or on additional sheets as necessary)
Your name:________________________ phone #__________________
address: __________________ e-mail: _________________________
1. Place of Birth: _________________ Date of Birth:_____________________
2. Others in family who served in the Navy? _____________________________
3. Entry year into service: _____________ Year left service: ___________
4. Listing of Duty Stations (Attach on a separate sheet…A biographic sheet listing assignments is welcome).
5. Conflicts you participated in:_______________ __________________ _________________
6. People you met who left lasting impressions: _________________
____________________ ___________________ _________________
____________________ ___________________ _________________
7. Issues/Topics you desire to specifically address:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. Books/Articles that you may have written: __________________________________
____________________________________________________________________
9. Friend/Colleague recommendation for consultation on interviewing:
_______________________________
Phone#___________________ E-mail ______________________
17
Thank you for your response. The survey will assist the interviewer in crafting appropriate questions.
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Oral History Donation Form
Subject to the terms, conditions and restrictions set forth in this agreement,
I/We ________________________________________________________ located at
Address______________________________________________________
City____________________________________ State_______ Zip Code__________
Telephone__________________________________,
do hereby give, donate, and convey to the Naval Historical Foundation a nonexclusive, paid-up license throughout the world in the information provided in the enclosed oral history (hereafter referred to as "the donated materials") conducted in
(year)___________ by_________________________________________
at__________________________________________________________.
It is understood that Naval Historical Foundation will then donate "the donated materials" to the Naval Historical Center. This donation includes all copyright interests in the materials, which I may now possess or which I may in the future obtain and includes the right to reproduce the work in copies, to distribute copies to the public, to perform or display the work publicly, and to prepare derivative works thereof. Specifically, the Naval Historical Center may publish copies of the oral history for limited distribution to Navy libraries and relevant Navy commands. With my permission, the Naval Historical Foundation may retain a copy of the oral history for purchase by the public at a cost to cover reproduction and shipping.
____ I hereby donate "the donated materials" to the Naval Historical Foundation with the understanding that it will be donated to the Naval Historical Center and that historians of the Naval Historical Center will have free access to the oral history for use as source material for histories being written and published under the auspices of the Dept. of the Navy. I understand that copies of the oral history may be reproduced and distributed to Navy libraries and relevant Navy commands and thus may be accessible to independent researchers.
____ I hereby allow the Naval Historical Foundation to retain a copy of the oral history for purchase by the public at a cost to cover reproduction and shipping.
____ I hereby allow the Naval Historical Center the option to post the oral history on the Center's Internet web site for widespread dissemination to researchers.
____ Other: _________________________________________________________________
____________________________________________________________
Donor's signature
________________________
Date
________________________
From: Executive Director, Naval Historical Foundation
To: Director, Naval Historical Center
Subj: Donation of Oral History "Donated Material"
The Naval Historical Foundation donates the attached "donated materials" under the terms prescribed above. It is understood that the Naval Historical Center staff may dispose of the donated materials, as they see fit, at any time.
_________________________________________
(Name of Official accepting donation)
I accept the license and materials donated above on behalf of the Dept. of the Navy, subject to the terms, conditions, and restrictions set forth above.