Woodmont College

Testimonial Consent Form


Please share a positive experience at Woodmont College. Sign the form below consenting to your name/testimonial being used in various Woodmont College publications.
 
Testimonial:
The testimonial must be at least a paragraph.
 
I consent for Woodmont College to use this testimonial.
 
 
Name*
 
 
Email*
 
 
City of Residence
 
 
Age
 
 
Occupation
  
 
Place of Employment
 
 
Degree completed*
 
 

RELEASE AND CONSENT

In consideration for my name and/or photograph and/or quote and/or story and/or video being selected for inclusion in informational and marketing material produced on behalf of Woodmont College, with third party support, in print, electronically and on the Woodmont College public website, I hereby:

GRANT Woodmont College the non-exclusive and perpetual and worldwide right, license and privilege under copyright or any other right or license enjoyed by me to use, edit, translate, reproduce, publish and distribute my name and/or photograph and/or quote and/or story in print form and/or video form and to use, broadcast, cablecast and reproduce and distribute the above on the Woodmont College public website and by e-mail or other electronic means.  I agree that I will not at any time make any claim for additional compensation in respect of such use and waive any right to inspect or approve the finished photographs, quotes and stories and I waive all rights of integrity and all other moral rights.

I FURTHER GRANT CONSENT to Woodmont College to use and disclose my name, photograph, quote and/or story in print or video form, by e-mail or other electronic means and in an online version on the Woodmont College public website (the “Website”).

I FURTHER warrant that I am the author of the story and that I have the exclusive title to the story and/or photograph and/or video and that the story and/or photograph and/or video do not infringe upon or violate any copyright, moral or other right of integrity, any other intellectual property rights or any personal privacy rights of any person.  I agree to release and forever discharge Woodmont College and its officers, agents and representatives from any and all claims, demands, expenses, actions, causes of action and or any and all liability howsoever caused, arising out of, or in any way related to the collection, use and disclosure of my photo and/or quote and/or story and/or video authorized to be collected under this form. 

I have read this Release and Consent before signing below, and I understand the contents.  I understand that by giving this Consent, I am permitting personal information about me to be used in print form, by e-mail or other electronic means and in an online version on the Website.  I also understand that if consent were withheld none of these uses would occur.  I also understand that Woodmont College has no control over and is not responsible for the use or misuse of all or any part of this testimonial by third parties who access the Website. 

I have submitted my name and/or photograph and/or quote and/or story and/or video to Woodmont College voluntarily and I have given my consent voluntarily.

 

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Signature Certificate
Document name: Testimonial Consent Form
lock iconUnique Document ID: a17653dff9f72e653e9b9e491f19882b69c60d4c
Timestamp Audit
March 7, 2022 10:16 am ISTTestimonial Consent Form Uploaded by Rivka Levine - avital@woodmontcollege.edu IP 79.177.140.38
March 7, 2022 10:18 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 93.173.10.142
March 7, 2022 10:23 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 93.173.10.142
July 13, 2023 1:20 pm ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.207.168
July 13, 2023 1:21 pm ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.207.168
August 10, 2023 10:51 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.201.146
August 10, 2023 10:51 am ISTDevora Kreshevsky - devora@naaleh.com added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.201.146
February 28, 2024 11:24 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.205.159
February 28, 2024 11:24 am ISTDevora Kreshevsky - devora@naaleh.com added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.205.159
May 29, 2024 11:28 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - avital@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.199.204
May 29, 2024 11:28 am ISTDevora Kreshevsky - devora@naaleh.com added by Rivka Levine - avital@woodmontcollege.edu as a CC'd Recipient Ip: 147.235.199.204
December 17, 2024 10:42 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - avital@woodmontcollege.edu as a CC'd Recipient Ip: 79.177.140.38
December 17, 2024 10:42 am ISTDevora Kreshevsky - devora@naaleh.com added by Rivka Levine - avital@woodmontcollege.edu as a CC'd Recipient Ip: 79.177.140.38