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Authorization for Release of Information

and Photo Opportunity

I, _________________________________, the undersigned, authorize Jobs for


Nevadas Graduates, Inc. to provide information and/or photographs concerning my
participation in the Jobs for Nevadas Graduates, Inc. Program in the form of
promotional, informational and public relations media.

This authorization will remain in effect until _________________. The information


and/or photographs will be used by Jobs for Nevadas Graduates, Inc. for brochures,
fliers, and web-based programs directly related to Jobs for Nevadas Graduates, Inc.

I authorize the use of my information and photographs

I authorize the use of my information only no photographs

I do not authorize use of my information or photographs

______________________________________
Students Signature

______________________________________
Parent/Guardians Signature (if under 18 years old)

______________________________
Date

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