Story Release

Towards Employment Story Release
I, First Name* Last Name* understand that my story, photo, and voice is my own and grant my permission to Towards Employment to:
(Check all that apply) *

Take pictures of me Record my voice Videotape me
I understand that the information I provide may be edited and shared both immediately and in the future with Towards Employment's audiences on websites, in videos, and on other public online forums such as: email, social media, press releases, newsletters, etc.

I consent under the condition that the following requirements are met:
Check only one: *

My image can be used completely My image must be blurred or hidden to hide my identity
Check only one: *

My real name can be used Do NOT use my real name, please use a fake name to hide my identity
Check only one: *

My real voice can be used My voice must be masked or adjusted to hide my identity
I understand that any media uploaded to the internet is accessible globally, and may be shared, downloaded, or saved. I recognize that Towards Employment may delete media from our own social media pages or website, but cannot delete files downloaded or saved by other users or devices.

By signing this form electronically, you are agreeing to the terms and conditions stated herein.
Name *

First Name Middle Name Last Name
Type a question *

Clear
Date Signed

Month Day Year
Should be Empty:

Towards Employment Story Release