Please print a copy of this form for your own records.

When you submit your form, your data is sent securely.
If your form has been submitted successfully, you will see a Thank you message.

State law requires that you be informed of the following:
(1) with few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form;
(2) under sections 552.021 and 552.023 of the Government Code, you are entitled to receive and review the information; and
(3) under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is incorrect.