Interview and Recording Request

Please read the Terms of Use prior to submitting this form. By submitting this form, you agree to abide by the Terms of Use.

First Name

Last Name

Street Address

City

State

Zip

Phone

Email

Institutional Affiliation

Highest academic degree held by researcher

Do you have any Tribal affiliation?

Which tribal nation are you affiliated with?

Purpose of Research

Is there a chance the research will be published or used in a media publication?

Description and/or working title of research

Please list any specific interviews you may be interested in

Date of intended research use

After reading the SDOHC's Terms of Use (link above this form), please type your initials stating that you understand and agree to these terms:

Today's Date

Interview & Recording Request