Image Consent Form

Image Consent Form

Thank you for your support of the VIC VICE virtual reality project. We value the opportunity to share your business, industry and career stories with young people across Victoria, and to help them make better-informed career choices going forward.

As part of your involvement with the VIC VICE project we ask that you acknowledge that video and/or still photography of you may be used.

Please review and submit the form below. Should you have any questions prior to completing the form please contact us.

Your Name(Required)

First Last

Your Contact Email(Required)

Your Contact Phone(Required)

Your Company or Organisation(Required)

Acknowledgement(Required)

By checking this box, I agree to appear on video as part of VIC VICE. I agree that this footage and/or still images may be used by VicLLENs, GMLLEN or otherwise any other way in connection with the delivery and promotion of VIC VICE.

Comments

This field is for validation purposes and should be left unchanged.