Oral History Consent and Submission Form

Your Full Name
Your Email Address
Your Phone Number
Mailing Address
 

 

Please describe which materials you plan to gift to the Yonkers Public Library with this form. This may include audio and/or video recordings of the oral history interview, pictures, and/or other related documents. 

 

Full names of the people in the interview. Please include the interviewer, interviewee, and anyone else who is present on the recording.


If you are a parent or guardian signing for a participant under the age of 18, please indicate the names of these participants and your relationship to them.  Please email Michael Walsh at mwalsh@ypl.org with any questions about providing consent for participants under the age of 18. 

 

I understand that I do not transfer Intellectual Property Rights but give permission to YPL to make Fair Use copies for users of the material for scholarship and research purposes. YPL’s right to make copies shall include the right to digitize and provide access to the material via the Internet or other forms of electronic distribution.
 

 

I understand that my interview, photographs, and other items listed may be distributed to the public for educational purposes, including formats such as print, public programming and the Internet. Further, I agree to hold the Yonkers Public Library, its affiliates and branches harmless against any claim, action, loss, damaged or alleged infringement of copyright, trademark, or other third party property rights, caused by or arising from the publication, exhibition or telecast of my interview, audio recordings, photograph or copy of my personal documents furnished to the Yonkers Public Library. I understand that I shall receive no compensation for the material that I share.
 

 

I understand that the Yonkers Public Library may remove these materials from its collection in the future. I will keep my own copies of any files or materials I donate in the case that YPL is no longer able to archive or display my materials in the future.
 

 

Are there any notes you would like to add about these materials? 

Please sign the digital signature. 

 

Please attach files here. You can attach up to 5 at a time. If the files are larger or you need to submit more, submit multiple forms.


Maximum 5 files.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, sit, svg.