Client Case Study and Photograph
One copy for client
One copy to retained on file in the central KMLLN admin office
One copy for records of the interviewer
Thank you very much for agreeing to provide a case study about your
journey into and through Higher Education.
This form is to ask for your permission to use your case study and image(s)
independently of each other for publicity purposes. This can be through
printed material and publications (internal and external), in electronic format, Kent and Medway LLN
on our website, in video or internet projects, or through the news media. University of Greenwich
Your case study will be stored in electronic format and in printed format Central Avenue
centrally by the KMLLN. Chatham Maritime
Kent ME4 4TB
If you agree with the statements in the box, please could you sign and date
in the space below. T: 01634 883193
F: 01634 883407
Many thanks for your co-operation. W: www.gohigher.org.uk
I am happy for my story and / or images to be used by the KMLLN for
promotional and publicity purposes, including printed material, electronic
marketing, videos and the KMLLN website*.
The KMLLN may send publicity material about our services, including
photographs, where appropriate, to the news media, especially the local
press. I agree to my story and / or images being used in this way.
I understand that there is no fee payable to me for my contribution and
waive all such rights.
Client Name in Capitals:
Interviewer Name in Capitals:
*Please note that websites can be viewed throughout the world, not just in the
United Kingdom where UK law applies. This form is valid for five years from the
date of signing.
Client Case Study and Photograph Release Form March 2008 Page 1 of 1