Employee Photography Consent

EMPLOYEE PHOTOGRAPHY CONSENT

Company Name:

Personal Information

Position Information

Start Date:    Annual Salary:

Photography Consent

I hereby grant to the Company, its affiliates, licensees and assigns an unrestricted, worldwide, perpetual, royalty-free, transferrable, sublicensable right and license to photograph, record, reproduce, publish, distribute, display and otherwise use my image, likeness, voice and biographical information (collectively, the Media) in any media now known or hereafter developed for the purposes set forth below. This grant includes the right to crop, retouch, alter, composite, or modify the Media as deemed appropriate by the Company.

Purpose of Use (check all that apply):

Company website and intranet
Social media and promotional posts
Marketing, advertising, and publications
Press releases and public relations
Internal training, presentations, and archival records
Shared with approved external partners and vendors for the foregoing uses
I do NOT consent to any photography or recording at this time

By signing below, I acknowledge that:

• I understand that the Media may be used in perpetuity and that I will not receive compensation for the uses specified herein.
• I waive any right to inspect or approve the finished product and any claim for remuneration related to any use of the Media.
• I release, indemnify and hold harmless the Company, its employees, representatives and assigns from any claims, liabilities or damages arising from the use of the Media consistent with this release, except where prohibited by law.
• This consent does not waive any rights I may have that cannot be waived by law, and any modification of this consent must be in writing and signed by an authorized representative of the Company.

Data Retention and Privacy

The Company will retain copies of the Media consistent with its document retention policies and applicable law. The Media will be stored and used in accordance with applicable privacy and data protection obligations. Requests to review or request removal of Media should be submitted in writing to the Company's Human Resources department; please note that removal may not be possible where Media has been distributed to third parties or incorporated in printed materials already in circulation.

Compensation and Rights

I acknowledge that I will receive no additional compensation for the use of my Media and that all photographic negatives, digital files, and other reproductions are the exclusive property of the Company unless otherwise agreed in writing. I represent and warrant that I am at least 18 years of age and have the full right and authority to grant the rights described in this consent. If I am under 18, a parent or legal guardian must sign below.

Authorization for Background and Employment Verification

I authorize the Company to contact my previous employers, educational institutions and professional references and to conduct background checks as permitted by law for legitimate employment purposes. I understand this authorization is separate from the photography consent and may be revoked in writing to the extent permitted by law.

I authorize the Company to conduct background and employment verification checks, as permitted by law.

Employment History (Most Recent)

Dates Employed:

Employment History (Prior)

Dates Employed:

Education

Graduation Date:

Professional References

Legal Disclosures

At-Will Employment: Employee acknowledges that employment with the Company is at-will, meaning either the Employee or the Company may terminate the employment relationship at any time, with or without cause or notice, unless a separate written agreement provides otherwise.

Equal Opportunity: The Company is an equal opportunity employer and does not discriminate on any legally protected basis. All employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information or other protected status.

Applicant Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that falsification, omission or misrepresentation may result in disciplinary action up to and including termination of employment.

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