Authorization and Publicity Release Form
By signing below, I agree to let my name be used in correspondence with the Named Fund donors in the event that I receive a grant supported by a Named Fund.
I understand that all required documents as outlined below must be submitted for my application to be complete. I acknowledge I am responsible for monitoring the status of my application, regardless of any communications I receive or do not receive from Boothbay Region Student Aid Fund.
I hereby grant permission to the Boothbay Region Student Aid Fund use of my name, photograph, the named fund of the grant I received, my major, and the institution I will be attending in connection with publicity efforts. These may include, but are not limited to: Social media posts, Advertising, Press releases, Website content, Promotional materials.
I will not receive compensation for the use of this material.
I may withdraw my consent for publicity in writing at any time, and future use will be discontinued.