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Home
Honors Graduate Form
It's all about you!
Full Name
Email (PSU)
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Major
Minor
Honors Program Questions
What semester and year did you join the honors program?
Which honors class was your favorite? Why?
Please tell us about one of the research projects you completed. With which faculty member(s) did you work, what did you study, and what were your findings?
How will your honors experience help prepare you for opportunities beyond your graduation?
What are your plans for after graduation?
The fun stuff!
We wish to use your photo on our Honors Program Alumni Recognition page. Select one answer.
I have a headshot photo appropriate for publishing and I will attach it below. (Plain colored wall, wearing contrasting colors in business attire or Penn State spirit wear, portrait orientation (up and down) and admit lighting and spacing around you.)
I would like Strategic Communications to take my photo on campus. Please contact me to schedule a time. (Social distance protocols will be in place.)
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The boring stuff!
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CONSENT, LICENSE AND RELEASE AGREEMENT
I, the undersigned, hereby grant my permission and consent to The Pennsylvania State University ("Penn State") and its affiliates, officers, agents, and employees (together, "Penn State Representatives") to photograph, video record, or audio record me. I hereby grant an irrevocable, world-wide, royalty-free right and license to Penn State and Penn State Representatives to utilize, adapt, modify, reproduce, distribute, publicly perform and display the photographs, video, and/or audio (collectively "Media") taken of me for use in promotional, educational, informational, advertising or commercial materials and communications in any form now known or later developed, including but not limited to publications, websites, articles, brochures, books, magazines, newsletters, exhibits, videos, films, social media, advertisements, and training programs (collectively "Materials"). Furthermore, I hereby authorize and consent to the use of my name, image, likeness, and voice (collectively, "Likeness") in the Media for all Materials or any other purposes deemed appropriate by Penn State. I hereby waive any right to be notified or to inspect or approve the Media or any Materials that are created using my Likeness, now or in the future, whether that use is known or unknown to me. I hereby waive any right to royalties or other compensation arising from or related to the use of the Media or Materials. I hereby release and hereby agree to indemnify and hold harmless Penn State and its trustees, Penn State Representatives, and their licensees and assigns for any and all claims that I or any third party may have now or in the future for invasion of privacy, right of publicity, copyright infringement, defamation, or any other cause of action arising of the use, utilization, adaptation, modification, reproduction, distribution, publicly performance or display of my Likeness in the Media or Materials. In accordance with this complete release of all rights in my Likeness used in the Media and Materials, I hereby waive any and all claims, damages, or liability arising from or related to the use of the Media, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, of my Likeness that may occur or be produced in taking, processing, reducing, adapting, modifying, producing, reproducing of the Media and Materials and their publication, distribution, display or performance. I understand and agree that Penn State is and shall be the exclusive owner of all right title and interest, including any copyright, in the Media and Materials. I have read this Consent, License and Release before signing below, and I fully understand the contents, meaning, and impact of this Consent, License and Release. This Consent, License and Release shall be binding upon and inure to the benefit of my successors and assigns, and contains the entire understanding of the parties with regards to the Media and Materials. I hereby represent that I am eighteen (18) years of age or older and I am competent to contract in my own name.
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