Staff Consent Form for Photographs/Video to be Used in Publicity Campaigns

Occasionally, Nugent may take photographs/videos of staff at our establishments/schools/projects.

Nugent may use these images in printed publications that we produce, as well as on our website or other Social Media sites such as Facebook, Twitter and YouTube.

From time to time, the media, who will take photographs or film footage of a visiting dignitary or the high profile event may visit our establishments.

By completing this form, you give us full permission to use these images in our media applications, which reasonably promote or advertise Nugent’s aims. (This may include our printed publications; adverts; audiovisual and electronic materials; media work; display materials; and any other media we may use in the future.) The images will not be used for any other purpose.

This form is for use by STAFF ONLY and should NOT to be used for images taken of service users or other vulnerable groups.

Please answer questions 1 to 4 below, then sign and date the form where shown.

1 / May we use your image(s) in printed publicity or promotional literature produced by Nugent, including leaflets, posters, newsletters and other display material? / YES / NO
2 / May we use your image(s) on Nugent’s website and other social media sites, including Facebook, Twitter and YouTube? / YES / NO
3 / I understand that websites and other online media can be seen throughout the world, and not just in the United Kingdom, where UK law applies. / YES / NO
4 / Do you consent to your name being published with a press photograph? (At the present time, some local newspapers will not agree to publish a photograph without a name). / YES / NO

I have read and understood the conditions of use on the back of this form.

Signature of Person giving consent:
Name (In Block Capitals)
Date:

Conditions of use

1This form is valid for five years from the date signed.

2The consent will automatically expire after this time.

3If you wish to withdraw or change your agreement at any time you must notify Nugent in writing.

4Nugent will not use the personal details or full names (which means first name and surname) of any staff member in a photographic image on video, on our website, in any of our other printed publications.

5Nugent will not include any personal contact details, e-mail, postal addresses, telephone or fax numbers on video, our website or in other printed publications.

6If we use photographs of individual, we will not use the name of that individual in the accompanying text or photo caption, unless we have your agreement.

7We will only use images of staff who are suitable dressed, to reduce the risk of such images being used inappropriately.

8Group photographs or video recordings of staff that includes staff who have not given consent, will be used for internal use only.

We understand that where consent has not been obtained we could be in breach of the Data Protection Act 1998 if we used our recordings for any wider purpose.

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