Language
English (US)
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Social Media Release Form
Name
*
First Name
Last Name
Employee #
*
Phone Number
*
Email
*
example@example.com
Authorization and Release
In relation to image rights in the context of business activities...choose one of the following:
*
I consent to the use of photographs of myself on the company social networks and website (Linkedin, employee portal etc.) INCLUDING the mention of my name.
I consent to the use of photographs of myself on the company social networks and website WITHOUT the mention of my name.
I might consent to the use of photographs of myself on the company social networks and website but I want to approve them in each occurence.
I DO NOT consent to the use of photographs of myself on company social networks and website .
Choose one of the following:
I consent to have my birth date divulged to Protech employees and posted on the internal Employee portal.
I DO NOT consent to have my birth date divulged to Protech employees and posted on the internal Employee portal.
Disclaimer
By consenting to the use of your photographs by the company, you authorize The Protech Group to use them on its social media platforms, the company's website and the employee's portal. You also relinquish any right and compensation for usage of your photos in any Protech Group social media platforms.
Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: