ARCHIVE FORMS Oral History Life History

PINE MOUNTAIN SETTLEMENT SCHOOL
SERIES 00: ARCHIVE
Life History Form

(This form should accompany the Oral History Release Form.)

Interview date: _______________________________________________________________________________

Interview location: ____________________________________________________________________________

Format and duration of interview: ____________________________________________________________

Interviewee name: _____________________________________________________________________________

Interviewer name: ______________________________________________________________________________

Birth date of interviewee: _______________________________________________________________________

Birthplace: ______________________________________________________________________________________

Education: ______________________________________________________________________________________

Relationship to Pine Mountain Settlement School: ______________________________________________

__________________________________________________________________________________________________

COMMENTS: ____________________________________________________________________________________

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