Skip to main content Skip to navigation

Applicant Statement of Confidentiality & Consent for Photography/Videography

Applicant Statement of Confidentiality

As an applicant for the Washington State University Elson S. Floyd College of Medicine, I will have access to information and materials relating to admissions, other program applicants, and employees, which is of private and confidential nature.

I will not disclose or reproduce electronically or otherwise, in part or in whole, any of the scenarios or information related to the multiple mini-interview system used for admissions testing at the Washington State University Elson S. Floyd College of Medicine.

I will not develop, market, or distribute any computer program, website, video, podcast, or software product that is similar in function.

I understand and agree to abide by the conditions outlined in this statement.  I also understand any breach of these expectations can be included as part of your application materials.  We expect everyone to maintain the integrity and fairness of the process for all applicants.

Consent for Photography/Videography

I and my parent or guardian (as appropriate), hereby grant permission to Washington State University’s Elson S. Floyd College of Medicine to be photographed or otherwise have images or voice recordings made (including but not limited to digital photographs, video or digital moving images and/or voice recordings), for WSU publication or promotional purposes in any medium (including but not limited to print media, newspaper, television, video, motion picture, or Web site on the Internet).

I additionally consent to the use of my name and/or interview comments in connection with WSU publication or promotional purposes in print media, newspaper, television, video, motion picture, or Web site on the Internet.

I understand that consent to use of my likeness or voice recordings is not a condition of participating in any WSU program and that consent can be refused without any impact on my ability to fully participate in the program.

No inducements or promises beyond our acceptance of an opportunity to promote WSU and its programs have been given to the persons signing below.

Any other use of images and/or recordings, my name, and/or interview comments requires advance permission.

I understand that I can revoke this consent at any time upon notice to WSU, at which time either or both of us will sign a copy of the denial (below) for use of images or voice recordings.

I agree to use of digital images or voice recordings as set forth above:

  • MM slash DD slash YYYY