Media Release

Proudly Showcasing our Members

Please fill out the Media Release form below. This form is effective throughout and beyond the duration of my membership and involvement with Present Your PhD. At any time, written requests to remove any images, media, text, or similar may be submitted to presentyourphd@baylor.edu and we will quickly work to rectify the situation.

Member Media Release Form

First Name *

Last Name *

I consent to Present Your PhD using the following for marketing and advertising purposes:

Images of me

Video of me

Depictions of my likeness

Cited oral or written quotations of me

Explain why any of the above were not selected:

I acknowledge that this agreement is in effect until otherwise noted *

Yes

I acknowledge that I can provide written request for the removal of any specific depiction of me at any time *

Yes

I acknowledge that Present Your PhD has up to 7 business days to respond to my request of media removal *

Yes

I acknowledge that Present Your PhD is under no obligation to use any images, depictions, quotations, or similar that I provide *

Yes

By typing my full name below, I acknowledge this stands as an electronic signature of my agreement to the previous statements: *

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.