Social Media Interaction Consent Form
Please complete the Social Media Interaction Consent Form to confirm your permission for social media interaction and content use.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Role or Relationship to Organization
*
Please Select
Employee
Volunteer
Student
Parent/Guardian
Other
Types of Content You Authorize Us to Use
*
Photos
Videos
Written Testimonials
Audio Recordings
Other
Social Media Platforms Where Content May Appear
*
Facebook
Instagram
Twitter/X
LinkedIn
YouTube
Other
Purpose or Description of Social Media Use
*
Duration of Consent
*
One-time use
Ongoing until revoked
Other (please specify below)
Do you give permission to be tagged or mentioned in posts?
*
Yes
No
Signature
*
Submit Consent
Submit Consent
Should be Empty: