CCPA Form

The following information is necessary to verify your identity and will only be used for this purpose.

First Name * Please enter a valid first name.

Middle Name Please enter a valid middle name.

Last Name * Please enter a valid last name.

Suffix Please enter a valid siffix.

Mailing Address * Please enter a valid address.

City * Please enter a valid city.

State * Please select a state.

Zip Code * Please enter a valid 5 digit zip code.

Email Address * Please enter a valid email.

Phone * Please enter a valid phone number.

I have a prior name

I have an alternate address

Alternate Residence Address Please enter a valid address.

City Please enter a valid city.

State Please select a state.

Zip Code Please enter a valid 5 digit zip code.

If your data are found in our systems, how do you prefer to receive the report?

Email Mail Both Please, select an option.

I agree to the terms below. Please check the "I AGREE TO THE TERMS BELOW" box.

By checking/clicking the box above, I agree that Kaplan North America LLC may email me or contact me regarding this CCPA request by telephone and/or text message utilizing automated technology at the telephone number(s) and/or email addresses I have provided. If I reside outside the U.S., I consent to the transfer of my data to the U.S. Kaplan North America’s privacy policy governs the submission and handling of these data

By checking / clicking the box above, I attest that I am the California consumer associated with the data provided in this form. I understand that submitting false representations constitutes an act of fraud. False, misleading, or inaccurate information may result in the inability of Kaplan North America to comply with this CCPA request.

* CCPA allows California consumers or households (Consumers) the ability to request information outlining what personal information the company collected from Consumers in the twelve (12) months prior to the request. Consumers can request these data up to two (2) times a year.

** The CCPA does not supersede federal laws governing the retention of documents and information. Information related to a student’s academic record or financial account is not subject to a request for deletion.

California Consumer Privacy Act (CCPA)

Are you a California resident?

Choose your relationship with Purdue University Global (PG)/Kaplan North America

Type of CCPA Request

The following information is necessary to verify your identity and will only be used for this purpose.

Prior name information

Communication Preference

If your data are found in our systems, how do you prefer to receive the report?