City of Gainesville: Student Engagement
Name *
Email *
Race *
Required
Level of Education *
Year *
Major *
Where is your hometown? *
How long have you been living in Gainesville? *
What neighborhood do you live in? (you could put your apartment complex if you don't have a particular neighborhood) *
Favorite thing about Gainesville
I hereby give my consent to the City of Gainesville, its affiliates and agents, to use my image and likeness and/or any interview statements from me. This consent includes: (a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice; (b) Permission to use my name; (c) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole. *
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