Last Name, First Name. Kind of interview. DD Mo. YYYY.

Example:
Goodkind, Mary. Personal Interview. 4 Sept. 1996.

Interviewee's Last Name ________________________________,

Interviewee's First Name______________________________.

Kind of Interview (Personal Interview or Telephone Interview) _________________________________ .

Date of Interview: __________ (Day) ______________(Month -- Spell Out) ___________ (Year).