BTE 30 Years Photo Collection Form BTE 30 Years Photo Collection Step 1 of 2 50% Reflections of BTE Throughout the YearsJohnson & Johnson and FHI 360 seek photo submissions from Bridge to Employment participants and volunteers. These photos will be used to help celebrate 30 years of BTE programming, which will commence in 2022! About YouYour Name* First/Given Name Last/Sur Name Your Preferred Email Address:* The Name of Your BTE Site:* Graduation Year* Please list the year you graduated from the BTE program. Photo 1*Max. file size: 50 MB.Photo 2Max. file size: 50 MB.OptionalPhoto 3Max. file size: 50 MB.Optional Agreement: Permission to Use Pictures, Video, and/or StoryAcknowledgment* I have read and understand this consent and release and hereby give FHI 360 consent to use images of me and/or my story.I agree to allow FHI 360 and/or its partners and/or its funders to reproduce, publish and/or otherwise use pictures and/or videos of me and/or my story in print and electronic formats, including, but not limited to publications, videos, exhibitions, advertisements, promotional or educational materials and on websites and social media (e.g., Facebook, YouTube) that help advance public health and/or other development initiatives in connection with FHI 360 activities. I understand that my picture, video or story may be reproduced or published in any medium without restriction. I acknowledge that I will not receive payment or any other compensation for the use of my story or photos, and I release FHI 360, its employees and agents from any and all claims which arise out of or are in any way connected with use as described, in any jurisdiction. If I am under the age of 18, I confirm and acknowledge that my parent/legal guardian has reviewed and agrees to all of the aforementioned consent acknowledgments in this section. Checking this box is the equivalent of their electronic signature.I have been fully informed of the content of this Agreement in a language I understand and hereby give FHI 360 consent to use images of me and/or my story.* Agree