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Image could be used in [PI should detail how the photo would be used for research (e.g., facilitate interview, focus groups, etc.). PI should also detail if and how photo might be used in scholarship (e.g., dissertation, thesis conference presentations, articles, websites, instructional materials).] To be completed by the subject: Subject’s Name: ________________________________________________________________ Address: ______________________________________________________________________ Phone: ___________________________ Email:____________________________________ I, the subject of this photo, grant you, the photographer, and the affiliated researcher, , use of the photo for the study for which it was taken, subject to the following conditions: [PI should detail how the photo would be used for research (e.g., facilitate interview, focus groups, etc.). PI. 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