Powercat Financial Client Consent and Release Agreement
I voluntarily consent to receive financial counseling services from Powercat Financial. I understand that services may be provided by a student in a financial related program under the supervision of the Powercat Financial staff. I further understand that Kansas State University is a teaching institution and I agree to be part of the teaching and research programs.
I understand that the student providing financial information is not a licensed financial professional and cannot recommend any investments, insurance, nor provide legal advice. If I feel that I need legal advice, I will contact an attorney.
Confidentiality is an important aspect of the counseling process, and we will carefully guard the information you entrust to us. There are three situations, however, when it may be necessary for us to share certain information with others: when a counselor is uncertain of how to address a particular problem and needs to seek advice from a supervisor; when there is a clear indication that someone may be harmed unless others intervene; or when it becomes necessary to seek the assistance of others in the community to help you (with your permission). Please be assured that our counselors strongly prefer not to disclose personal information to others, and they will make every effort to help you find ways to resolve a problem as privately as possible.
In the course of providing financial counseling services to me, it may be necessary for my counselor to discuss my financial information with his/her supervisor and creditors to whom I owe money. I understand the educational purpose and potential of questionnaires and supervision of my financial counseling sessions and I voluntarily consent and agree to their use.
Powercat Financial is a center for training and research of peer financial counseling. An important part of training involves having faculty observe students' work as well as having students observe faculty and each other's work. An important part of research in this area also involves observing the financial counseling and what is working in the process. This is accomplished by observing sessions using video equipment as the session takes place or by recording the session for later playback. The use of observation and video recording ensures the financial counseling you receive is of the highest quality. For training purposes, sessions may be shown outside of the clinical setting strictly as a learning tool for other students and professionals. Your last name or other personal information will not be associated with the video. We adhere to strict ethical standards concerning confidentiality and privacy and the discussion of cases during training or research consultations.
If I have any questions or concerns now or in the future, I understand that I should consult with my peer financial counselor or the Director of Powercat Financial at 785-532-2889.
In consideration of receiving the services described above, by scheduling a Powercat Financial appointment, I do hereby release, indemnify, and hold harmless the State of Kansas, Kansas State University, its Board of Regents, University officers, agents and employees, and students of the Powercat Financial program from any and all liability of any type whatsoever arising from any acts or omissions, negligent or otherwise, by said Kansas State University officers, agents, employees, volunteers, or students relating to Powercat Financial. I certify that I have read this form and that I understand its contents, and that I hereby give my voluntary consent for participation.