Media & Promotional Use - Opt Out Name * First Name Last Name Date MM DD YYYY Division DPI Staffing DPI Security Northwest Success Cascadia Nutrition Staff Members Other Email * Phone * (###) ### #### DPI Policy 204 (Workplace Privacy & Employee Information) states that the Company may publish photographs, videos, or narratives of me that are taken pursuant to my employment by The DPI Group, in any print, online, social media and/or video-based marketing materials, as well as other DPI Group publications. I wish to opt out of any use of my image or narrative. I would like to be contacted prior to any use of my image or narrative. Thank you!