| Name of Interviewer: |
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| Name of Translator: |
|
| Name of Interviewee: |
|
| Project Title: |
Iqaluktuuq 2003 |
| Location: |
Ekalluk River, NU |
| These interviews and the resulting translations and/or transcriptions and/or images
will be used for the following purposes: |
- In part or whole by the Kitikmeot Heritage Society for use in publications,
reports, books and videos which will be used primarily to educate and
document traditional knowledge.
- To preserve cultural values and knowledge.
- To preserve Inuinnaqtun and Inuktitut and to promote its use.
|
| I have been fully informed of the objectives of the project being conducted.
I understand these objectives and consent to being interviewed for the project.
I understand that steps will be undertaken to ensure that this interview will remain
confidential unless I consent to being identified. I also understand that, if I wish to
withdraw from the study, I may do so without any repercussions. |
| The Kitikmeot Heritage Society will not use the interviews and images for any
other purpose without the permission of the interviewee. |
| I agree to the use of the information
I have provided according to the
conditions stated above. |
I agree to use the information
according to the terms outlined
above. |
| Signature of Interviewee |
Signature of Interviewer |
| Date |
Date |