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DACC Nursing Program Student Handbook 2012-2013APPENDIX – ODOÑA ANA COMMUNITY COLLEGE NURSING PROGRAMRelease of Information FormPublicityI hereby grant permission to the DACC Nursing Program to release my name or picture for publicitypurposes. I understand my picture or name may appear in the newspaper or other materials, such as acollege slide presentation or advertisement.I hereby deny permission to the DACC Nursing Program to release my name or picture for publicitypurposes. I understand my picture or name will not appear in the newspaper or other materials, such as acollege slide presentation.____________________________Signature___________________Date____________________________Print NamePotential EmployersPotential employers often contact the DACC Nursing Program for a list of graduates eligible for nursingemployment opportunities. By law, the college or representatives of the Nursing Program may not givestudent information without prior approval.I hereby grant permission to the DACC Nursing Program to release information about me to employmentrecruiters.I hereby deny permission to the DACC Nursing Program to release information about me to employmentrecruiters.__________________________Signature____________________Date__________________________Print NameUpdated: July 201166 | P a g e