THE SAN BERNARDINO SANTA FE SHOPS ORAL HISTORY
PROJECT
1 AM BEING ASKED TO READ THE FOLLOWING MATERIAL TO
ENSURE THAT I AM INFORMED OF THE NATURE OF THIS
RESEARCH STUDY AND OF HOW I WILL PARTICIPATE IN IT, IF I
CONSENT TO DO SO. SIGNING THIS FORM WILL INDICATE THAT I
HAVE BEEN SO INFORMED AND THAT I GIVE MY CONSENT.
FEDERAL FEGULATIONS REQUIRE WRITTEN INFORMED
CONSENT PROIR TO PARTICIATION IN THIS RESEARCH STUDY
SO THAT I CAN KNOW THE NATURE AND RISKS OF MY
PARTICITPATION AND CAN DECIDE TO PARTICIPATE OR NOT
PATICIPATE IN A FREE AND INFORMED MANNER.
PURPOSE
Lam being invited to participate voluntarily in the San Bernardino Santa Fe Shops oral
history project. The purpose of this project is to record, transcribe, and deposit into
archives the oral histories of persons whom life stories are closely related to the San
Bemardino Santa Fe Shops. These oral histories will be used in future publications,
books and other multimedia applications (i.e., websites) of the principle investigators on
the history of the Santa Fe Railroad in San Bernardino, California, the history of San
‘Bemardino, the history of railroading in Southern California and the impact,
deindustrialization can have on urban centers.
SELECTION CRITERIA
Lam being invited to participate because either I or a close family member has an
intimate connection to the San Bernardino Santa Fe Railroad Depot and the San
Bernardino Santa Fe Shops.
Approximately 5-20 persons will participate in this study.
PROCEDURE(S)
If L agree to participate, I will be asked to consent to the following:
1. An oral interview with Kimberly Haysam, Heather Johnson, Christina Perris or
Kyle Shell. This interview will be recorded on video or audio tape and
transcribed.2. Lagree to give the researchers copyright to the audio and video taped and
transcribed interview.
‘The Interviewer(s) will have the right to use the interview for research,
dissertation(s), books, and other publications.
4. Copies of the video recordings and transcripts may be deposited in an archive at
the interviewer's discretion
5. The Interviewee will have the opportunity to request a personal copy of the
transcript of video recording for his/her own records.
6. The Interviewee retains the right to withdraw from the project, or withdraw
his/her transcription from the project at any time.
7. The interviewee will have the opportunity to review the transcribed interview
before it is deposited into any archive or used in any publication and will be given
the opportunity to request revisions, additions, or deletions at that time
RISKS
There are no known risks associated with this study.
BENEFITS
Benefits associated with participation in research will be in preserving a portion of the
history to the San Bernardino Santa Fe Shops as recorded through the lives of the
participants in this study.
CONFIDENTIALITY
For the sake of privacy, the Interviewee will choose whether the transcripts and any
publication derived from them will use his/ her name or a pseudonym.
I prefer that the Interviewer(s) use my name / a pseudonym (Please Circle One).
PARTICIPATION COSTS AND SUBJECT COMPENSATION
1. Participants will not be required to incur any expenses related to participation in
this project except for approximately two hours of their time during which the
interview will take place
2. Participants will not be compensated monetarily
CONTACTS
Tecan obtain further information from the Interviewers Kimberly Haysam at (951) 233-
6330 or rpattlove@email.com, Heather Johnson at (951) 265-4418 or
‘ohnh304@csusb.edu, Christina Perris at (909) 648-5768 or perrisc(@esusb edu, or Kyle
Shell at (760) 447-6666 or red_dog_2000@sbsglobal.net. If I have further questionsregarding the project I can contact Dr. Cherstin Lyon or the California State San
Bernardino history department at (909) 537-5524. . If] have any concerns about my
rights as a research subject, I can contact the Institution Research Board Coordinator at
California State University, San Bernardino at (909) 537-7588 or mgillesp@csusb.edu
AUTHORIZATION
BEFORE GIVING MY CONSENT BY SIGNING THIS FORM, THE
METHODS, INCONVEIENCES, RISKS, AND BENEFITS HAVE BEEN
EXPLAINED TO ME AND MY QUESTIONS HAVE BEEN
ANSWERED. I MAY ASK QUESTIONS AT ANY TIME AND 1 AM
FREE TO WITHDRAW FROM THE PROJECT AT ANY TIME
WITHOUT CAUSING BAD FEELINGS. MY PARTICIPATION IN THE
PROJECT MAY BE ENDED BY THE INVESTIGATIOR FOR REASONS
THAT WOULD BE EXPLAINED. NEW INFORMATION DEVELOPED
DURING THE COURSE OF THIS STUDY WHICH MAY AFFECT MY
WILLINGNESS TO CONTINUE IN THE RESEARCH PROJECT WILL
BE GIVEN TO ME AS IT BECOMES AVAILABLE. THIS CONESNT
FORM WILL BE FILED IN AN AREA DESIGNATED BY THE HUMAN
SUBJECT COMMITTEE WITH ACCESS RESTRICTED TO THE
PRINCIPAL INVESTIGATOR(S), KIMBERLY HAYSAM, HEATHER
JOHNSON, CHRISTINA PERRIS AND KYLE SHELL, OR
AUTHORIZED REPRESENTATIVE OF THE HISTORY DEPARTMENT.
IDO NOT GIVE UP ANY OF MY LEGAL RIGHTS BY SIGNING THE
FOR. A COPY OF THIS SIGNED CONSENT FROM WILL BE GIVEN
TO ME.
Laa—s Ca
Mier) ignature Date
Witness (if necessary) Date