Consent Form - Other

Please read the information below carefully and provide your consent.

Dear Participant,

The Luma Learn Foundation is a nonprofit dedicated to helping learners succeed at school. We value your privacy and want to ensure your information and interview content are handled responsibly. In line with the Protection of Personal Information Act (POPIA) in South Africa, we request your permission to collect, use, and share content from your interview.

What Information Will Be Used?

We would like to keep notes, videos, or recordings from the interview. This information may include your name, age, and your thoughts and responses during the interview.

How Will We Use This Information?

The collected information will be used to:

  • Understand learners' ideas and experiences
  • Share these insights for educational purposes
  • Use selected clips or content for social media and promotional material that highlights our mission

Where Might We Share This Content?

With your permission, we may share video clips or quotes from the interview on:

  • Social media channels (such as Facebook, Instagram, and Twitter)
  • Our website and other online platforms
  • Marketing materials that promote the Luma Learn Foundation's educational programs

How Will We Protect Your Information?

We will keep this information secure and handle it carefully. Only authorised individuals will have access to the information, and we will not share identifying details without your permission.

What Are Your Rights?

You have the right to:

  • Ask how your information is being used and shared
  • Withdraw your consent or request that we stop using the information at any time

If you agree to allow us to collect, use, and share this content as outlined above, please complete the form below. Feel free to contact us if you have any questions.

Thank you for supporting Luma's mission to help learners succeed!

Consent Declarations

By typing your name above, you agree that this constitutes your legal electronic signature.

By submitting this form, you confirm that you have read and understood the consent information above.

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