Higher Education New Student Arrival Form

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Consent for Release of Information

I hereby consent to Wentworth Institute using any of its items that I have indicated below for the purposes of promotion, marketing or advertising the institute:

✔ a testimonial written by me about Wentworth Institute
✔ a photograph of me taken whilst a student at Wentworth Institute
✔ examples or photographs of work completed by me whilst a student at Wentworth Institute

I give this consent Freely nad willingly without duress.

Name: