- CONFIDENTIAL -

TALENT RELEASE FORMThank you for giving the (insert name of faculty/school as required) at

The University of Western Australia permission to film and/or take your photograph.

Your image will be used in a variety of marketing materials for The University of Western Australia (UWA) to showcase the university to prospective students and the wider community.

All images become the property of UWA and may be used in University publications, on the UWA website and may be passed on to media to use only in conjunction with articles and advertising which directly promotes UWA and its students. UWA may also authorise organisations affiliated with the University, including affiliate Residential Colleges*, to use these images for promotional purposes. Electronic versions of printed publications may also appear on the UWA website. UWA also extends permission to the University Photographer to promote their work and your image may appear on the Photographer’s personal website at www.xxxxx

Please indicate your permission below for usages of your image.

I give permission for my image to be used by UWA in printed marketing collateral, in digital presentations (such as PowerPoint), on the UWA website, by media selected by UWA to promote UWA and its students, for promotional purposes by organisations affiliated with UWA, including Residential Colleges*, and for marketing purposes of the University Photographer on their website.

SignedName (please print)Course & Student Number (if applicable)Contact email address OR phone numberDateNOTE: A parent or guardian must sign if the participant is under 18 years of age.*Residential Colleges: Currie Hall, St. Catherine’s College, St George’s College, St Thomas More College and Trinity.

Thank you very much for your involvement in this project!

*Residential Colleges Contact Details

Currie HallWinthrop AvenueCrawley WA 6009(08) 9273 3333

St Catherine’s College2 Park RoadNedlands WA 6009(08) 9442 0400

St George’s CollegeMounts Bay RoadCrawley WA 6009(08) 9449 5555

St Thomas More CollegeMounts Bay RoadCrawley WA 6009(08) 9386 0111

Trinity230 Hampden RoadCrawley WA 6009(08) 9423 9423

For Internal Processing OnlyPhotographs & images can not be legally used unless all talent release forms are submitted to UWA Public Affairs - both scanned and in hard-copy - no later than 5 working days after completion of the photo shoot.

Name of UWA Staff member submitting the forms: