By submitting information into the Hark Connector Tool, you, on behalf of yourself or on behalf of a minor of whom you are a parent or legal guardian, acknowledge the veracity of the information that has been or will be submitted, consent to the use and disclosure of the information submitted for the purposes described herein, and agree to reasonably cooperate with Hark in the implementation of the care plan that Hark creates for you or the minor.

You hereby authorize HarkNWA and each of its affiliates (collectively referred to herein as “Hark”) to use and disclose the information that has been or will be submitted through the Hark Connector Tool in order to create a care plan for you or the minor and to communicate information about you to agencies and organizations located in the Northwest Arkansas community that have been identified by Hark and listed on your care plan (each, a "Collaborating Agency"). You understand that Hark may use and disclose the information submitted through the Hark Connector Tool, as well as any additional information that Hark may collect from you through correspondence or other conversations, for any reasonable purpose in relation to the care plan, including, but not limited to, the following purposes:

• 1. Verifying the information submitted through the Hark Connector Tool;
• 2. Creating a care plan for you with up-to-date community resources; and
• 3. Communicating and sharing information with or among Collaborating Agencies about you or your care plan when necessary.

In providing and assisting with the implementation of your care plan, Hark will comply with the Terms and Conditions and Privacy Policy of Hark. You understand that the Collaborating Agencies are independent, third parties that register with Hark to provide community services in various financial, health and human service areas and are not agents, employees or representatives of Hark.

You understand that you do not have to agree to this Consent, but that if you do not agree, Hark or the Collaborating Agencies may not be able to provide a care plan or services to you. To the extent you are agreeing to this Consent on behalf of a minor, you certify that you are the parent or legal guardian of the minor who is requesting a care plan or for whom you are requesting a care plan through the Hark Connector Tool and that you have the legal authority to provide the consent requested under this Consent form on behalf of the minor.

By submitting your information into the Hark Connector Tool and agreeing to this Consent, you acknowledge that you have read and understand this Consent.

Hark welcomes Your feedback and suggestions about how to improve Hark's services and Hark Connector, including, without limitation, the feedback and suggestions and all other information, data, material, or other content (collectively, "Submissions"). Such Submissions can be sent to info@harknwa.com. Hark alone (and its licensors, where applicable) will retain all intellectual property rights relating to Submissions, which are hereby assigned to Hark. Further, Hark is free to use any ideas, concepts, methods, know-how, techniques, and processes contained in any Submission for any purpose whatsoever, including, but not limited to, creating and marketing products, information, or services using such information. Upskill NWA uses the Hark Connector Tool to make referrals to community resources. Your application and other information you submit to Upskill NWA is also stored through the Hark Connector Tool.

Share limited information regarding identified social determinant of health needs and connection to resources with the Arkansas State Health Alliance for Records Exchange (SHARE). Opt Out