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Audio Recording Agreement Form

This form is to notify instructors of your intent to record audio during classes. Please fill out the necessary details before recording audio in the course. Your submission of this form acknowledges the restrictions stated below and affirms your agreement to all conditions.
Please read the following:

Restrictions on Classroom Recordings

The recording of classroom lectures is subject to the following conditions:
- Recordings of class lectures are only for the student’s personal use in study and preparation related to the class.
- The student may not share the recordings with any other person at any time, whether or not that person is in his/her class.
- Only audio of the class may be recorded; video recording is not allowed.
  The use of recording devices is forbidden during tests and other assessments or graded activities (as determined by the instructor).
- The student acknowledges that the recordings are sources, the use of which is governed by the rules of the Academic Integrity Policy for the College.
- When they are no longer needed for academic work or by the course end, any recordings made will be destroyed by the student.
- Information contained in the audio-recorded lecture is protected under federal copyright laws and may not be published or quoted without the express, written consent of the instructor and without giving proper identity and credit to the instructor.
Student's First Name*
Student's Last Name*
Student's College ID*
Student's YTC Email Address*
example@example.com
Course Name, Prefix, and Section (i.e., BIO 105 002)*
Year and Term (i.e., 2024FA, 2025FA1, 2025SP3, 2025SU)*
Instructor's Name*
Instructor's YTC Email Address*
example@example.com
Reason for Recording*
Date of Request*

MonthDayYear
Please make sure your instructor is aware of any audio recordings.
I understand that the misuse of any recordings may result in disciplinary actions as outlined in the Student Code of Conduct.*

Yes
I agree to the conditions stated above regarding restrictions on classroom recordings and assert that I will follow all guidelines relevant to class recordings.*

Yes
Should be Empty:

Audio Recording Agreement Form