CMIT Application Signature- Photo/Video Release


Photo/Video Release

I release to Chi Alpha Campus Ministries, U.S.A. the right to utilize my photo or a video of myself during the internship program. I understand Chi Alpha will utilize only tasteful and appropriate images that help communicate the vision, values, and mission of Chi Alpha Campus Ministries, U.S.A.

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Chi Alpha Campus Ministries https://chialpha.com
Signature Certificate
Document name: CMIT Application Signature- Photo/Video Release
Unique Document ID: ee176f41d0d86c0e65a8dcf5f4c39d3fcd9b0fc1
Timestamp Audit
August 31, 2017 3:53 pm CDTCMIT Application Signature- Photo/Video Release Uploaded by CMIT Program - cmit@ag.org IP 66.119.29.16, 127.0.0.1
December 6, 2017 12:40 pm CDT Document owner mlynch@ag.org has handed over this document to XAAffiliations@ag.org 2017-12-06 12:40:23 - 66.119.29.16
November 26, 2018 4:39 pm CDT Document owner XAAffiliations@ag.org has handed over this document to cmit@ag.org 2018-11-26 16:39:25 - 66.119.29.16, 127.0.0.1