EmailMe Form - Submit Your Own Recording

Name:

First Last

Email:

Address:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Age:
(Will not be shared)

Affiliation:

Student

Faculty

Staff

Other

File Upload:

Are you the sole creator of these materials?

Yes

No

If you answered no to the previous question, list the names of your co-creators with email addresses. IMPORTANT: Each co-creator must fill out this form in order for the item to be accepted by the archives. However, only one co-creator is required to upload the file.

Type of submission:

Video

Audio

Photo

Other

File Upload

Media Release (sign below):

I hereby consent to and authorize Kean University, its officers, agents and employees to:

a) Record my likeness and voice on a video, audio, photographic, digital, electronic, print or any other medium. This includes self-recorded media that I submit to the University.

b) Use my name in connection with these recordings.

c) Use, reproduce, exhibit or distribute in any medium (e.g. print or web publications, video productions, news releases) these recordings for any purpose that Kean University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts.

I release Kean University and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of Kean University. I waive the right to inspect or approve the finished product wherein my likeness appears.

I acknowledge that my consent to the above conditions is fully voluntary, given without coercion or duress. I further acknowledge that I am 18 years of age or older and have read and fully understood the terms of this release. I understand that no monetary consideration is being paid to me for my appearance, likeness, statements or recordings.

Clear