JobWorx Photo/Video Release Form

1
Your Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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My digital signature authorizes Jobworx to use my name, photographs, videos and/or make reference to me for the purpose of promoting JobWorx INC, their sponsors, and/or services.
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Authorization* This field is required.I hereby authorize JOBWORX Inc (Non- Profit Corporation), to use, reproduce, and/or publish photographs and/or video that may pertain to me including my image, likeness and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, broadcast public service advertising or for other related endeavors. This material may also appear on the Corporation's or project sponsor's Internet Web Page. This authorization is continuous and may not be withdrawn. Consequently, the Corporation or project sponsor may publish materials, use my name, photograph, and/or make reference to me in order to promote/publicize service opportunities.
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Do you have a legal guardian?* This field is required.
YESNO
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Legal Guardian* This field is required.By signing this, I am confirming that I do not have a Legal Guardian.
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Please click on the SUBMIT button below to send your release form.

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