All information provided is kept confidential and is shared among the SSS staff and other college officials only on a need-to-know basis. The following limits to
confidentially apply: when child/elder abuse is disclosed, when a threat to self or others is disclosed, or when records are legally subpoenaed.
Affidavit/Release of Information: I certify that the information I have provided on this application is, to the best of my knowledge, complete and accurate. I hereby authorize the Student Support Services program and all other appropriate college departments, including Financial Aid, to share academic and financial aid records that will help in assessing my academic and career planning needs. I understand, in order to confirm or facilitate transfer and graduation, my information may be shared by or with other postsecondary institutions or organizations, such as the National Student Clearinghouse. I also authorize the SSS to print my name and photograph, as appropriate, in articles in the SSS newsletter and promotional materials. SSS Staff may text message me. I understand that I am responsible for any charges from my carrier. Standard text rates may apply. You have the opportunity to opt out upon receipt of initial text.
Media Release Form: I hereby irrevocably and perpetually grant to The District Board of Trustees of Pensacola State College, Florida (the “College”), Pensacola State College Foundation, Inc. and WSRE Foundation, Inc. (collectively its “Affiliates”), the right to capture, store, use and incorporate my name, image, likeness, and voice, in whole or in part, in any print, analog or digital storage, display or broadcast medium, of every type and nature, presently in existence orinvented in the future (collectively the “Media Property”), for purposes of advertising, publicity, artistic display, entertainment, or any other purpose whatsoever.
I hereby agree that I will not bring or consent to others bringing any claim or action against the College or its Affiliates on the grounds that anything contained in the Media Property, or in the use thereof, is defamatory, reflects adversely on me, or violates any otherright whatsoever, including without limitation, my rights of privacy and publicity. I hereby release the College and its Affiliates, and their respective trustees, officers, employees, agents, successors and assigns from and against any and all claims, demands, actions, causes of action,suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have against the College or its Affiliates in connection with the Media Property.
This Agreement shall not obligate the College or its Affiliates to use the Media Propertyor to use any of the rights granted hereunder, or to prepare, produce, exhibit, distribute or exploit the Media Property.
The College and its Affiliates shall have the right to assign their rights hereunder,without my consent, in whole or in part, to any person, firm or corporation.