CCC OASIS – Video Testimonial Submission Form

Student Information

Program (Select one)(Required)

Upload Your Video

Instructions:
– Keep your video between 30–60 seconds.
– Record in landscape mode (phone held sideways).
– Speak clearly, smile, and share your authentic experience.
– Name your file: FirstName_LastName_Program (example: Jane_Doe_CASAC.mp4).
Max. file size: 50 MB.
Upload your video file (MP4 or MOV preferred)

Media Release

Consent Statement:
I hereby grant Clinton Community College, NAHEC, and HWNY the right to use my name, likeness, voice, and testimonial video in promotional materials, including but not limited to social media, websites, digital ads, and printed publications. I understand that my participation is voluntary and that I will not receive compensation. I release Clinton Community College, NAHEC, and HWNY from any claims related to the use of my video for educational and promotional purposes.
Type your full legal name — this will serve as your digital signature.
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