Workshop Faculty Information Form

Forefront Workshop Faculty Information Form

Thank you for sharing your expertise with us in an upcoming Philanthropy Club event. Please answer the following questions to ensure the Forefront team is best equipped to promote your participation through our communications and event materials.

Faculty Name*
Please share the full name of the presenter.
Organization Name
Please provide the name of the organization, if any, the presenter is affiliated with.
Title of Faculty
What is the presenter's title at the affiliated organization?
Faculty Email Address*
Your Email Address
If you are not the presenter, please provide your contact information.
Faculty Biography*
Please share a short biography of the presenter, no more than 50 words.
Social Media Handles*
Please list the presenter's social media handles including Twitter, Instagram, Facebook, LinkedIn, and any other applicable channels.
Is there anything Forefront should know about how to promote you?
Please provide any specific naming conventions, capitalization requests, and so on. If the presenter would prefer not to be acknowledged in any particular way (for example, no social media mentions), please note that as well.
Headshot
Please upload a .png or .jpg file of your headshot. The higher the resolution, the better. Please ensure that images are not less than 400x400 pixels.
Drop files here or

Accepted file types: jpg, png, Max. file size: 30 MB.
Consent
RELEASE AGREEMENT

Whereas FOREFRONT is engaged in programming,

Whereas, I, the undersigned, have agreed to appear in the Video, and

Whereas, I understand that my voice, name, and image will be recorded by various mechanical and electrical means of all descriptions (such recordings, any piece thereof, the contents therein and all reproductions thereof, along with the utilization of my name, shall be collectively referred to herein as the "Released Subject Matter"),

Therefore, I hereby freely and without restraint consent to and give unto FOREFRONT and its agents or assigns or anyone authorized by FOREFRONT (collectively referred to herein as the "Releasees") the unrestrained right in perpetuity to own, utilize, or alter the Released Subject Matter, in any manner the Releasees may see fit and for any purpose whatsoever, all of the foregoing to be without limitation of any kind. Without limiting the generality of the foregoing, I hereby authorize the Releasees and grant unto them the unrestrained rights to utilize the Released Subject Matter in connection with the PROGRAM's advertising, publicity, public displays, and exhibitions. I hereby stipulate that the Released Subject Matter is the property of the Producer to do with as it will.

I hereby waive to the fullest extent that I may lawfully do so, any causes of action in law or equity I may have or may hereafter acquire against the Releasees or any of them for libel, slander, invasion of privacy, copyright or trademark violation, right of publicity or false light arising out of or in connection with the utilization by the Releasees or another of the Released Subject Matter.

It is my intention that the above-mentioned consideration represents the sole compensation that I am entitled to receive in connection with any and all usages of the Released Subject Matter. I expressly stipulate that the Releasees may utilize the Released Subject Matter or not as they choose in their sole discretion without affecting the validity of this Release. This Release shall be governed by Illinois law.

I hereby certify that I have read, understood, and agreed to the foregoing.

I consent.
- I do not consent to the release.
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Workshop Faculty Information Form

Forefront Workshop Faculty Information Form

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