Student Spotlight- General Form

Student Spotlight- featured section of THE UPDATE, weekly undergraduate newsletter

By filling out this form, I agree to share any information contained herein with the public at large. I understand that I may provide any and all information I feel comfortable sharing. I acknowledge that Student Academics Affairs reserves final editing and/or denial privileges.

 

 

answer must be a university ID like 612345678

 

 

 

 

 

 

 

 

 

 

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required15. PHOTO MODEL RELEASE: I hereby give permission to the College of Education at the University of Illinois at Urbana-Champaign to use and publish any pictures or video of me taken for the purposes of promoting the College and University and its programs and services. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both, by the university. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned. I further attest that I have read this consent form and fully understand its contents. This form will remain on file throughout the period in which I am a student or guest at the institution and will then become an archival document.