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    Summer Artist / Educator Residency (SAER) Student Information & Permissions Form

    Welcome Summer Artist / Educator Residency (SAER) participants! If you have completed your tuition payment, please submit the required form below to confirm your contact information and permissions.

    ** BEFORE COMPLETING THIS FORM, COMPLETE YOUR SAER TUITION PAYMENT.

    Questions?
    Please email our team at ce@moore.edu.
    Student Information
    Date of Birth *
    Date of Birth *

    *** This information is required as a unique identifier for all enrolled students at Moore College of Art & Design. 
    Moore is required to file a Form 1098-T for each student we enroll and for whom a reportable transaction is made. Please note this platform is secure. For individuals who do not possess a Social Security Number, please contact our office directly for further assistance. 

    Emergency Contact Information
    Academic Information
    What areas interest you? *
    (select all that apply)
    What areas interest you? *
    (select all that apply)
    Permissions
    Photo Release

    I hereby grant permission to Moore College of Art & Design, the rights of my image, in video or still, and of the likeness and sound of my voice, as recorded on audio or videotape. I understand that my image may be edited, copied, exhibited, published or distributed, and waive the right to inspect or approve the finished product, wherein my likeness appears.

    Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

    Photographic, audio or video recordings may be used for ANY USE which may include, but is not limited to:

    • Presentations 
    • Courses
    • Online/Internet Videos
    • Media
    • News (Press)

    By submitting this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet, or in the public educational setting. There is no time limit on the validity of this release, nor is there any geographic limitation on where these materials may be distributed.

    By submitting this release, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.

    Moore Student Photo ID
    A headshot is needed for the purposes of creating your Moore Student ID. The ID will facilitate access in and around the building as well as serve as identification for security purposes during your time at Moore.

    Make sure to upload a clear photo of your upper body and face! 
    How to Take a Proper Headshot
    Please upload a front-facing headshot for your student ID.

    Have you completed your SAER Tuition payment?
    Have you completed your SAER Tuition payment?
    Is your employer funding your experience at SAER?
    Is your employer funding your experience at SAER?