ࡱ> 796q`  bjbjqPqP 1(:: , 8 $ ,J((( $h@!`3```3((H`j(( ` V}@TA(  Bf ^ ,^0x!(j!AA!UhTU 33j````,,,0 d,,,0 ,,, AV East Bay Consent Form: Subjects Who Do Not Speak or Read English The regulations for the protection of human subjects require that informed consent information be presented in "language understandable to the subject," and, in most situations, that informed consent be documented in writing. Option 1: Where informed consent is documented, the written consent document should include, in language understandable to the subject, all of the elements necessary for legally effective informed consent. Potential subjects who do not speak or read English should be presented with a consent document written in a language understandable to them. The Institutional Review Board (IRB) strongly encourages the use of this procedure whenever possible. Option 2: Oral presentation of informed consent information is permitted in conjunction with a witness/translator addendum (stating that the elements of consent have been presented orally). A witness to the oral presentation is required, and the subject must be given copies of the informed consent. The witness should be fluent in both English and the language of the participant. When the person authorized to obtain consent is assisted by a translator, the translator may serve as the witness if impartial to the research. The witness/translator may not be the researcher. When this procedure is used with subjects who do not speak or read English, (1) the oral presentation should be in a language understandable to the subject; and (3) the witness should be fluent in both English and the language of the subject. At the time of consent, (1) the Informed Consent should be signed by the subject (or the subjects legally authorized representative); (2) the Informed Consent should be signed by the witness. When the person obtaining consent is assisted by a translator, the translator may serve as the witness, as long as that person is not the researcher. Witness/Translator Addendum CONSENT You have been given a copy of this consent form to keep. PARTICIPATION IN THIS RESEARCH IS VOLUNTARY. You are free to decline to participate in this research study, or to withdraw your participation at any point, without penalty. Your decision whether or not to participate in this research study will have no influence on your present or future status at San Francisco State University and/or at (name of agency, school, clinic, hospital, company or institution through which the research is being conducted). Signing this document means that the research study, including the above information, has been described to you orally in your native language, you understand the information, and you voluntarily agree to participate. Signature _____________________________ Date: _________ Research Participant Signature _____________________________ Date: _________ Interviewer My signature as witness certifies that the research study, including the above information, has been described to the subject orally in his/her native language of __________, the subject understands the information, and signed this consent form in my presence as his/her voluntary act and deed. Signature _____________________________ Date: _________ Witness *The witness should be fluent in both English and the language of the participant. When the person authorized to obtain consent is assisted by a translator, the translator may serve as the witness if impartial to the research. 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