Please fill these 2 forms out and return them to UPO Community Elections:
Attn: UPO Community Elections
United Planning Organization, General Counsel
301 Rhode Island Ave., NW, Washington, DC 20001.
Recommendation Form (2 are required)
I hereby authorize the United Planning Organization to use my likeness and my name and photograph in any and all of its publications, advertising, including website entries and educational training, without payment or any other consideration.
I acknowledge that since my participation in publications, advertising, including website entries and educational training, produced by the United Planning Organization is voluntary. I will receive no financial compensation and waive any right to royalties or other compensation arising or related to the use of the photograph.
I understand and agree that these materials will become the property of the United Planning Organization and will not be returned.
I hereby irrevocably authorize the United Planning Organization to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing the United Planning Organization’s programs, or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.
I hereby hold harmless and release and forever discharge the United Planning Organization from liability for all claims, demands, and causes of action which I or any third party may have in connection with or, by reason of this authorization.
I am 21 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
In consideration of your employment or volunteer eligibility (or continued employment or volunteer eligibility if you are currently an employee or volunteer) with the United Planning Organization (UPO), UPO may request and rely upon one or more consumer reports or investigative consumer reports about you that UPO obtains from one or more consumer reporting agency, such as Intellicorp Records, Inc. or any other vendor chosen by UPO to furnish such information.
IntelliCorp Records, Inc. can be contacted by mail at 3000 Auburn Dr., Suite 410, Beachwood, OH 44122; by phone at 888-946-8355; or on its website at www.intellicorp.net.
For explanation purposes:
Under the FCRA, before UPO can obtain a consumer report or investigative consumer report about you for employment/volunteer purposes, UPO must have your written authorization. Before UPO takes adverse action on the basis, in whole or in part, of information in that report, you will be provided a copy of that report, the name, address, and telephone number of the consumer reporting agency, and a summary of your rights under the FCRA.