I hereby give permission for the LSSC Talent Search program to retrieve, store and report education verification information and student outcomes research about me that is gained from the National Clearinghouse and other services.
I hereby give permission for LSSC Talent Search program to collect and report pertinent information related to ongoing research questions in the TRiO Center. No identifiable data will be made public, but aggregate data may be published or presented including: academic measures (GPA & Test Scores), involvement at Lake-Sumter State College and in TRiO, and other educational or personal data that is relevant to the research.
If medical services are needed by my son/daughter while participating in the LSSC Talent Search program activities or on field trips, I give my permission for my son/daughter to receive any medical services deemed necessary.
I authorize the LSSC Talent Search at LSSC to access and/or request copies of academic transcripts, grade reports, report cards, standardized test scores, contact information, and any other academic information from the high schools and colleges I attend through my college graduation. I understand that the U.S. Department of Education funds the LSSC Talent Search program and will use these records to provide academic advisement and other services. I also understand that these records will be handled in a confidential manner and that they will be made available only to program staff and representatives from Federal and State Departments of Education. I/We also give permission to LSSC Talent Search to request the information identified above from each high school and college that our son or daughter attends. Note: A photocopy of this record release form should be accepted as an original and the date of the application has bearing when Lake-Sumter State College Talent Search Program requests the information.
ACTIVITY AND FIELD TRIP AUTHORIZATION/RELEASE:
As the parent/guardian of the applicant I do willingly execute this release in consideration of the educational benefit to be derived by my child in participating in LSSC Talent Search. I hereby release from liability and hold LSSC harmless from any and all claims and causes of action which might be brought by my child for loss of property, personal injury or death sustained by my child arising out of travel or activity conducted by or under the control of the College. I understand that the term “College” as used here in shall include the employees, administrators, agents, and Board of Trustees.
I, being the parent or guardian hereby consent that the photograph/video my son/daughter and/or to use their likeness in photograph(s)/video(s) in any and all of its publications, and in any and all other media, whether now known or hereafter existing controlled by LSSC Talent Search program, in perpetuity, and for other uses by the College or Program. I will make NO monetary or other claim against LSSC Talent Search program for the use of the photograph(s)/video(s).
By my signature below, I hereby agree to and fully understand all the above issues/conditions and do accept full responsibility as outlined above.