How we will use your information (Please read carefully before signing form)

We would like to use your story/photography/video/audio footage to support work for Leicester College. This may mean that we send it to media organisations who may use it for publications and digital media. It may also mean that it is used on Leicester College digital and social media channels (eg Facebook, Twitter, Instagram) which could be shared by third parties globally. We may also use it in promotional material for Leicester College (such as guides and posters) or used for illustrative purposes in College documents. 

To allow the College to comply with the Data Protection Act 1998, please fill in your details below. By clicking submit you are agreeing that the above use of your story/photography/video/audio footage is allowed and will not be a breach of the Data Protection Act or any intellectual property rights (if applicable). We will store your information about you on a secure College database which cannot be accessed by third parties and all personal details will be kept confidential. 

If you are under 18 you must supply the name and contact details of your parent/guardian and they should submit the form on your behalf. 

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* 1. Your full name

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* 2. Your  ID number 

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* 4. Course title

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* 5. Telephone number 

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* 6. Email address

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* 7. Your date of birth 

Date / Time

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* 8. I give consent for Leicester College to use written information about me

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* 9. I give consent for Leicester College to use my image

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* 10. Your instagram (optional) 

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* 11. Your Twitter (optional) 

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* 12. Have you participated in a college event where your picture has been taken? If 'yes' please fill out below:

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* 13. Is this connected to your employment (Only fill if applicable)

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