EXHIBIT H Faculty
RELEASE FORM FOR THE ELECTRONIC DISPLAY OF FACULTY/STAFF PERSONAL INFORMATION
I, ___________________________________, give my permission for electronic display of my
personal information in the form of:
R Photograph, video, photo-likeness, group photo
R First name, year-in-school
R Information pertaining to school activities or participation in school related activities
R Award, recognition, or honor
R Photograph, photo-likeness, group photo
R Original work, product, research, graphic, or Web site contribution
to be displayed by the Arp Independent School District on electronic, video, and/or published media (Web site, CD, TigerVision, newsletters, brochures) on the subject of: ____________________________________________________
Name: (printed)____________________________
Signature _______________________________________
Home address ___________________Date ________________
Home phone number (for office use only)__________________________