By completing this form, I hereby grant permission to the University of Kentucky College of Nursing Behavioral Health Wellness Environments for Living and Learning and its affiliates and subsidiaries to interview, photograph, and/or videotape me and/or to use and/or permit others to use information from the aforementioned interview and/or the aforementioned images in educational and promotional activities for the following without compensation: University or College Educational Publications/Videos; University or College Electronic Publishing (e.g. website, email newsletters, podcasts); University or College Social Media Initiatives; University or College Promotion/Advertising (e.g. magazines, flyers, bulletin board designs); Local/regional/national news media (w/permission of the University of Kentucky College of Nursing Behavioral Health Wellness Environments for Living and Learning).