First Name *
Last Name *
Email *
Phone
Actual or expected year of graduation? *
Major(s)/Minor(s) *
Hometown *
What was the “What If” you started with, and how did it turn into “What Is”? *
How has GVSU played a role in your journey? *
What impact has this moment had on your goals, community, or future? *
Do you give University Marketing permission to contact you about potentially sharing your story in future campaigns? * Yes No
Waiver and Release *
I understand that my participation is voluntary and that I will not be compensated in any way for my time participating in this activity. I further understand that should any photograph or video in which I am featured be used by the University for promotional, marketing or educational purposes, I will not be compensated for that use.
I understand that any legal copyrights that attach to a photograph or video featuring me will be the property of Grand Valley State University. The model will be granted a permissive license to include any such materials featuring them in their portfolio or for personal use when requested.
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I agree to the fullest extent permitted by law to release GVSU, its Board of Trustees, officers, agents, employees, insurers, representatives, successors and assigns from any liability associated with my participation as a model at GVSU.
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