Loading Registration Form...
University of Pennsylvania Graduate School of Education

All questions marked by an asterisk are required
Event Name:
Health Professions Education (2023)


 

 Alumni  - 20.00%
 Group  - 20.00%
 Penn Employee  - 20.00%
[Click here to clear selection for question above]


 


 

Statement of Purpose

Penn GSE will use this statement of purpose to determine whether this particular program is a strong fit for your professional needs and interests.


 

  
  
  
  
  
  
  
  
  

 

RELEASE AND AUTHORIZATION FOR USE OF PHOTOGRAPHS

Thank you for allowing us to photograph and/or film you and your work. The University of Pennsylvania regularly photographs or videotapes activities happening on and off its campus as part of its records, and often might put photographs or video on its web site or use them to highlight the research or work of its affiliates. Please take a moment to read and agree to the terms below, which is a standard release we use to protect all parties' rights.

I hereby grant The Trustees of the University of Pennsylvania (hereinafter referred to as the “University”), the right and permission, in connection with the photograph(s) and/or video(s) that were taken of me, the following rights:

To use my photographic and/or videographic image, in any form or application, and the rights to use and reuse, reproduce, distribute, display, and create derivative works from, said photographs and/or videos, in whole or in part, modified or altered, either by themselves or in conjunction with other photographs and/or videos, and in any form of distribution including use of said images to be used for commercial purposes, and for any purposes whatsoever, including, without limitation, all promotional, fundraising and advertising uses, and other trade purposes; and the right to use my name to credit my role as the subject of the photograph, if the University so desires.

I hereby forever release and discharge the University from any and all claims, actions and demands arising out of or in connection with the use of said photographs and/or videos and my name, including, without limitation, any and all claims for copyright infringement, invasion of privacy and libel. This release shall inure to the benefit of the assigns, licensees and legal representatives of the University. I hereby irrevocably waive any moral rights I may have in connection with the University’s use of any of these photographs.

By clicking the check box below, I acknowledge that I am over the age of eighteen years and I have read the foregoing and fully and completely understand the contents. I acknowledge that I will not receive any royalty, fee, or other type of cash payment for the use and/or uses of the photographs and/or videos that the University of Pennsylvania may make of any of the photographs and/or videos.

Cancellation and Refund Policy

If you have to cancel your registration prior to the program's start date, you will receive a fee credit, valid for one year, for a future Penn GSE Center for Professional Learning program. If Penn GSE must cancel your registration, we will refund your payment in full, or you may request a fee credit as explained above.