Data Privacy Request Form UMES Email Address * Email Address to use for communications regarding this request. * First Name * Last Name * Student ID/Employee ID Note this is a 7 digit number, do NOT enter your Social Security, Drivers License or Passport Numbers in this field U.S. Street Address * City * State * Zip Code * What is your country of citizenship? * Telephone Number (Format: XXX-XXX-XXXX) * Describe your affiliation with UMES. (I am/was a) * Undergraduate Student Undergraduate Applicant (not enrolled) Graduate Student Graduate Applicant (not enrolled) Employee Employment Applicant Contractor Parent of a Student Donor Almunus OtherOther I would like to… * Request information on what data UMES has about me Request correction of a UMES educational record Request correction of a UMES personnel record Opt out of receiving communications Revoke my consent for UMES to process my data and/or request erasure Instruct UMES to not sell my data Captcha If you are human, leave this field blank. Next
