Dear CCC Supporter, 

Thank you for being willing to share your positive experience with the State of Ohio Combined Charitable Campaign (CCC). With this form you have three ways to share your experiences; by written testimonial, short video testimonial, and/or photos of you volunteering.

The State of Ohio Combined Charitable Campaign (CCC) is requesting employee photos and testimonials to promote the Combined Charitable Campaign.

 

Publications, publicity materials, internet sites, social media, and other media may be used to share information about the Combined Charitable Campaign. Authorization is required to release the text and/or photos you provide and your name.

 

I, the undersigned, consent to the reproduction, use, and distribution of my words and/or photos by the Combined Charitable Campaign and/or its agents. Furthermore, I understand that the text and/or photos may be released to the general public, funders, and program administrators when used for publications, publicity materials and program reporting, in broadcast, print, or online. Additionally, text may be edited for clarification or grammatical issues.

 

I release the Combined Charitable Campaign and its agents, employees, and assignees from any and all liability connected with the capture or use of these Media Images. I waive all rights, interests, or claims for payment in connection with any exhibition or release of these media images. I understand this consent is voluntary and can be revoked at any time. 

Please share your story in 75 words or less or via cell phone video.

 Please include:

   • How a charity affected you or someone you know;
   • Why you donate to the Combined Charitable Campaign; and
   • The value that a charitable organization provides to the community.