CONSENT TO SHARE WAGE AND EMPLOYMENT INFORMATION
I give permission for the Department of Employment and Economic (DEED) unemployment Insurance Division (UI) to release information in the way described on this form. The specific data or types(s) of data that DEED Unemployment Insurance Division may release are wage and employment records. I agree to let DEED UI release these data to the Workforce Center System for up to three years. I understand that YouthBuild program staff needs to collect the data in order to determine outcomes for YouthBuild programs. I understand that, whether or not these data are released to YouthBuild Program staff will not affect my participation in the YouthBuild program. *If you are under 18 years of age or not your own legal guardian your legal guardian will verify this consent in the e-signature forms that will come after this application received.