AUTHORIZATION FOR RELEASE OF INFORMATION

The NASW Foundation is pleased to have the opportunity to honor our fellowship and scholarship recipients. We would like to highlight the important contributions you are making to the social work profession.

By signing below you will authorize the NASW Foundation to post, on the Foundation’s Web site and in various publications including the NASW News, biographical information that you included in your application for a fellowship/scholarship. Your name as a fellowship/scholarship recipient is a matter of public record.

By signing below, (please check one)

___I permit the NASW Foundation to print biographical information, in addition to my name and school, on the NASW Foundation Web site and in various publications.

___I permit the NASW Foundation to print my photograph and biographical information in addition to my name and school on the NASW Foundation Web site and in various publications. (Please include a recent photograph.)

___I understand as a fellowship/scholarship recipient that my name and school may be used in administrative and other reports or publications released from the NASW Foundation and NASW. I do not permit the NASW Foundation to distribute any additional information.