Employee Likeness Release

EMPLOYEE LIKENESS RELEASE

This Employee Likeness Release (the "Release") is made between Employer Name: and Employee Name: Effective Date:

Personal Information

Position Information

Grant of Rights

Employee hereby grants to Employer and its agents, licensees and assigns a perpetual, worldwide, royalty-free, transferable and sublicensable right and license to record, reproduce, publish, display, distribute and otherwise use Employee's name, image, likeness, voice, statements, performance and biographical information (collectively "Likeness") in all media now known or hereafter devised for any lawful purpose including advertising, marketing, internal training, promotional materials, corporate communications and social media.

Photograph

Video recording

Audio recording / voice

Use of name and job title

Biographical information and quotations

Social media content and cross-posting

Permitted Uses and Restrictions

Employer may use the Likeness for any lawful business purpose. Employee understands that Employer may alter, crop, edit or combine the Likeness with other content. Employer will not be obligated to use any Likeness and will have no obligation to supervise or approve third-party use by Employer licensees.

Compensation and Consideration

Employee acknowledges receipt of good and valuable consideration sufficient to support this Release. Select the applicable option and provide details where requested.

No additional compensation; consideration provided as part of employment/benefit package

One-time payment

Term

Employee selects the duration for use of the Likeness.

Perpetual and irrevocable

Limited term until

Release, Waiver and Indemnity

Employee hereby releases, waives and forever discharges Employer and its officers, directors, agents, employees, insurers and assigns from any and all claims, demands, liabilities, damages and causes of action, known or unknown, arising out of or in connection with the use of the Likeness. Employee agrees to indemnify and hold harmless Employer from any third-party claims based upon statements made by Employee or rights asserted by third parties relating to Employee's Likeness.

Ownership, Copyright and Moral Rights

Employee acknowledges that Employer shall be the sole owner of all rights, title and interest in materials embodying the Likeness, including copyrights, and hereby assigns any such rights to Employer to the extent necessary. To the fullest extent permitted by law, Employee expressly waives any moral rights in the Materials.

Representations and Warranties

Employee represents and warrants that Employee has the full right and authority to grant the rights granted herein, that no prior commitments or agreements conflict with this Release, and that Employee is not subject to any legal restriction that would prohibit or impair the grant of rights. If Employee is under 18 years of age, a parent or legal guardian must sign below.

Employment History (most recent two employers)

Education

References

Legal Disclosures

At-Will Employment: Nothing in this Release modifies any at-will employment relationship. Employer or Employee may terminate employment at any time, with or without cause, subject to applicable law.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions are based on merit and business needs, and the use of any Likeness will be non-discriminatory.

Authorization and Background Check Consent

Employee authorizes Employer to contact past employers, references and educational institutions for verification of information provided above. Employee further authorizes Employer, to the extent permitted by law, to obtain background checks relevant to employment or use of Likeness.

I authorize the contact of previous employers and references as described above.

I authorize Employer to conduct background or screening checks as permitted by law.

Applicant Certification

I certify that all information provided in this Release and the attached employment history, education and references is true, accurate and complete to the best of my knowledge. I understand that falsification or omission of material information may be grounds for discipline, including termination of employment.

I further acknowledge that I have read this Release in its entirety, understand its terms, and enter into it voluntarily. I understand that this Release is binding upon my heirs and legal representatives.

I certify and agree to the terms above.

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