Consent Form
This form asks for your consent so that Organisation, of Organisation address, can use some of your personal information. Please read it before you sign.
1. What we ask for
We want to use your information for this purpose: Main purpose of the consent.
2. Information we will use
Information you will collect
We will collect only the information listed above.
3. Who will see it
Our staff who need it for the purpose above. We will also share it with: Who else will receive it. We will not sell your information.
4. How long we keep it
We will keep it for How long you keep it, and then delete it or make it anonymous.
5. Your choices
Mark Yes or No for each item. You can say yes to one and no to the other. Saying no will not affect your job, application, or any service you get from us.
- I agree that Organisation may use my information for the purpose in section 1: Yes [ ] No [ ]
- I agree that Organisation may take and use photos or video of me for: Where photos or videos may appear: Yes [ ] No [ ]
6. Withdrawing consent
You can withdraw your consent at any time by email to Contact email to withdraw consent. It is as easy to withdraw as it was to agree. We will stop using your information for that purpose. Withdrawal does not affect use that happened before it, or printed material already published.
7. Your other rights
You can ask us for a copy of your information, ask us to correct or delete it, and complain to the data protection authority where you live.
8. Confirmation
I confirm that I have read this form, that I understand it, and that I give my consent freely.
Signatures
Person giving consent
Signature: ____________________________
Date: ______________
Organisation
Signature: ____________________________
Date: ______________