Keep your support network informed about general program information, upcoming events, and deadlines. Provide your parent/guardian information to be added to our Parent/Guardian Info list.
The Family Educational Rights and Protection Act, 20 U.S.C. § l 232g and 34 CFR Part 99, protects personally identifiable information in student educational records. You may consent to the disclosure of your personally identifiable information by (1) specifying the records to be disclosed; (2) stating the purpose of the disclosure; and (3) identifying the party or class of parties to whom the disclosure may be made. You have the right to request a copy of these records for your own use. Unless you specify otherwise, this consent will continue while you remain enrolled at the Seattle Colleges.
I hereby authorize the disclosure of the following record(s) from Seattle Public Schools:
• My demographic information, including race, ethnicity, gender, age, education, profession, occupation, family and personal income level, and marital status.
• My grades, state test scores, and GPA
The purpose for disclosing the record(s) is to: Help establish the need for providing the Seattle Promise scholarships to eligible students residing in Seattle.
I hereby authorize the disclosure of the record(s) to Seattle Colleges.
As a parent/guardian, or student over the age of 18, I certify under the penalty of perjury of the laws of the State of Washington that the foregoing is true and correct. By filling out the box below with my LEGAL NAME, it acts as a signature to accept the waiver. I agree to accept these terms on my behalf or on behalf of someone in my care who is under the age of 18:
I hereby authorize Seattle Colleges and those acting pursuant to its authority a nonexclusive grant to:
(a) Record my likeness and voice on video, audio, photographic, digital, electronic, online formats, or on any and all other media.
(b) Record my testimonial statements/comments through digital media and/or transcription.
(c) Use my name in connection with these recordings.
(d) Use, reproduce, publish, republish, exhibit, edit, modify, or distribute, in whole or in part, these recordings in all media without compensation for any purpose that Seattle Colleges, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts. These recordings may appear in a variety of formats and media now available to Seattle Colleges and that may be available in the future (e.g. print publications, videos, DVD, Internet, mobile, digital).
I hereby release Seattle Colleges and those acting pursuant to its authority from liability, claims, and demands for any violation of any personal or proprietary right I may have in connection with such use, including any and all claims for libel, defamation and/or invasion of privacy. I understand that all such recordings, in whatever medium, shall remain the property of Seattle Colleges. I have read and fully understand the terms of this release.