GLEAP

Operational Consent Form

Member Information & Photo Consent Form

A beta form for confirming publication permission before member profiles and event photos are posted. This page itself does not submit or store information.

Effective · August 30, 2026Operational template · Print or copy this form and store signed records separately.

1. Person

  • Name: ____________________
  • Cohort / affiliation: ____________________
  • Contact email: ____________________
  • Guardian, if required: ____________________

2. Information you consent to publish

  • □ Name □ Photo □ Department / major □ Cohort □ Role
  • □ Email □ Social or personal links □ Activity, award or introduction text
  • □ Event group photo □ Event video □ Other: ____________________

3. Purpose, medium and duration

  • Purpose: introduce GLEAP members and official activities, preserve event records and support promotion
  • Medium: the GLEAP official website and social-media preview cards generated from that website
  • Duration: □ active term □ ____ years after graduation or term □ until withdrawal □ other: __________
  • Publication scope: publicly accessible to internet users and may temporarily remain in search-engine results and caches

4. Photograph rights confirmation

  • □ Permission to publish and edit the photograph on the website has been obtained from the photographer or copyright owner.
  • □ Identifiable people in the photograph were informed of the purpose, medium and duration.
  • □ Any required legal guardian consent for minors has been confirmed.
  • Photographer or rights holder and basis of permission: ________________________________

5. Withdrawal

Consent is optional. You may withdraw it or request a change to the publication scope at any time by emailing snucnsgleap@gmail.com. Withdrawal does not affect lawful use that occurred before it, and GLEAP will remove the information from the public page without undue delay. Search-engine caches and lawful copies held by third parties may take additional time to update.

6. Signature

I have read and understood the information above and consent to publication of the items I selected.

  • Date of consent: ____ / ____ / ______
  • Member name and signature: ________________________________
  • Legal guardian name and signature, if applicable: ________________________________
  • Verified by GLEAP: ________________________________