Small Consent Form

THE SAN BERNARDINO SANTA FE SHOPS ORAL HISTORY PROJECT This agreement relates to any and all materials originating from the interviews, namely the video and or audio recordings of the interviews, photographs taken during the interview, any items obtained from the interviewee, and any written material, including but not limited to transcripts or other finding aids prepared from the tapes. In consideration of the mutual covenants, conditions, and terms set forth below, the parties hereby agree as follows: 1. Interviewee assigns to the Interviewer(s) all his or her copyright and title to the video and audio recordings and transcribed interview. 2. By virtue of this assignment, Interviewers will have the right to use the interview for research, educational, and other purposes, including publication in academic journals, dissertation(s), books, and any future technologies that may become available. 3. The product of this interview may be deposited in an archive at the interviewers discretion. 4. The Interviewee retains the right to withdraw the interview from this project at any time prior to the deposition of his/her transcribed interview in any archive. 5. The Interviewee will have the opportunity to review video recording and or transcribed interview before it is deposited into any archive or used in any publications and will be given the opportunity to request minor revisions, additions, or deletions to the interview at that time. 6. The Interviewee will have the opportunity to receive a copy of the audio recording or transcript for his/her own personal records. 7. I prefer the interviewer use my name or a pseudonym (PLEASE CIRCLE ONE).

_________________________________ Interviewee

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_________________________________ Interviewer(s)

______________________ Date