Rowe Scholars Consent for Use of Visual Images Name* First Last StudentAdmin ID number*Seven digit number, no lettersUConn school(s)/college(s) enrolled in* CAHNR CLAS Fine Arts ACES Business Pharmacy Engineering Neag Nursing Major(s)* E-mail address* Cell phone number*(# # #)# # # - # # # #I hereby give permission to the University of Connecticut to use visual images of me for education, marketing, Donor and Steering Committee informational materials, or other purposes that support the mission of the University of Connecticut. Such images include, but are not limited to photographs, pictures and/or video in any medium. I hereby waive my right to inspect or approve the final versions of such images. I also waive any right to royalties or other compensation arising from or related to the use of such images. I also understand and agree that such images and recordings may be duplicated, distributed, and/or altered in any manner by the University of Connecticut. By typing my name, I am electronically signing this form and agree to all of the above statements.*Date* MM slash DD slash YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged.