Student Photography, Video and Audio Permission Consent Form

Full Name (*)

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Contact Number (*)

Please provide us with a contact number.

Email Address (*)

Please provide us with your email address

Age (*)

Please provide us with your age.

Date of Birth (*)

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Please enter your date of birth.

Student ID No.

Please let us know your student ID. This can be found on your student badge.

What course are you studying or previously studied with us? (*)

Please let us know what course you're currently studying on or studied with us.

Are you an apprentice? (*)

Yes No

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Employer Details

Does your employer need to provide consent or approve any stories, videos or images? (*)

Yes No

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Employer Contact Name (*)

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Company Name (*)

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Your Job Title (*)

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Work Telephone Number (*)

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Work Contact Email (*)

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Declaration

To comply with the General Data Protection Regulation (GDPR), we need your permission before we can photograph or make any recordings (including video and audio) of yourself. Please complete questions below, then sign and date this form where shown.

May we take your photograph? (*)

Yes No

Please let us know if we can take your photograph.

May we make a recording of yourself? (This includes both audio and visual) (*)

Yes No

Please let us know if we can take your photograph.

May we use your photograph in our prospectus, and other printed publications that we provide for promotional purposes? (*)

Yes No

Please let us know if we can take your photograph.

May we use your image/video/audio on our website? (*)

Yes No

Please let us know if we can take your photograph.

May we share your work (for example, paintings, videos, designs, performances) on our social media and digital platforms? (Including Facebook, X (Twitter), Instagram, YouTube, LinkedIn, TikTok, SnapChat, Spotify, Google Ads and Email)? (*)

Yes No Not Applicable

Please let us know if we can take your photograph.

May we use your image/video/audio on display screens around our different campuses? (*)

Yes No

Please let us know if we can take your photograph.

May we use your image in external media? (This includes newspapers, local magazines and outdoor media) (*)

Yes No

Please let us know if we can take your photograph.

Can we use your photograph/video in and around College, in places that may be seen by visitors? (*)

Yes No

Please let us know if we can take your photograph.

Can we use your photograph/video/audio once you have completed your course with us? (*)

Yes No

Please let us know if we can take your photograph.

May we use your photograph for outdoor media? (This may include railing banners, billboards, bus advertising, rail advertising and digital billboards) (*)

Yes No

Please let us know if we can share your work (for example, paintings, videos, designs, performances) on our social media and digital platforms.

CONDITIONS OF USE

By signing below, you are agreeing that you understand that:

• My image(s)/video/audio will be held in accordance with the General Data Protection Regulation (GDPR);
• That the images captured in video recordings and/or photographs will be the copyright St Helens College, Knowsley Community College or University Centre St Helens and any other intellectual property which arises in the recordings will also belong to St Helens College, Knowsley Community College or University Centre St Helens;
• I hereby agree to irrevocably assign all property rights in my performance and/or recordings to St Helens College, Knowsley Community College or University Centre St Helens;
• My images/video/audio may be used for a minimum of one recruitment cycle (12 months) for major campaigns, and a minimum of two recruitment cycles (24months) for general use.
• I can ask St Helens College, Knowsley Community College or University Centre St Helens to stop using the images/video/audio at any time, in which case they will not be used in future publications, but will continue to appear in campaigns/publications that are already in circulation.

For further details on how your data is used and stored, please visit: www.sthelens.ac.uk/privacy-policy

The personal information you provide here, will not be shared with any third party company. It will solely be used for your photography, video and audio permission consent.

Signature (*)

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