John Carroll University GDPR Consent Form

CONSENT TEMPLATE FOR USE WHEN COLLECTING PERSONAL DATA IN/FROM EUROPEAN UNION

Required by European Union General Data Protection Regulation (“GDPR”)

To Be Signed By Individual Providing Personal Data

John Carroll University is the controller of your personal data. You may contact JCU with concerns about GDPR

compliance at 1 John Carroll Boulevard, University Heights, OH 44118, or contact Melanie Hahn at [email protected]

(216) 397-4320 for international program related concerns or James Spitznagel Jspitz@jcu.edu (216) 397-1614 for

general security or privacy concerns.

Your personal data will be used for the following purposes: admissions; academic programs; communicating JCU

activities and accomplishments; soliciting donations; recruiting students; marketing; research; maintaining visa

status and related records; and appropriate medical and accommodation information for students studying abroad.

The categories of personal data you are being asked to consent to the University’s collection and use are your name,

address, email address, telephone number, academic records, and other data related to the purposes described in the

previous paragraph and normal operations of a university.

The University will share your personal data with third party software and service providers who collect, store and

process your personal data on behalf of the University and who are contractually obligated to keep your personal

data confidential subject to appropriate safeguards to prevent it from unauthorized disclosure. The University also

intends to share your personal data with: appropriate internal units as required during the course of your

attendance; partner schools administering programs that you are participating in; the federal government via the

SEVIS system, which is required for student visas; and faculty members who have a legitimate need for the data.

Your personal data will be transferred out of the European Union to JCU, which is located in the United States. You

consent to such transfer and understand that your data will be subject to US jurisdiction.

Your personal data will be stored in accordance with the academic/business needs of JCU, any record retention

requirements applicable to JCU as a federally funded university, and any other applicable Ohio & U.S. laws. For

data subject to the GDPR, you have the right to request access to, rectify, erase and restrict the processing of your

personal data. You also have the right to revoke this consent to use your personal data. If you feel the University has

violated the GDPR, you have the right to file a complaint with the appropriate EU supervisory authority. These

rights are more specifically described in the Privacy Notices posted on the University website at [link to interim

policy].

Please [sign/electronically sign/check box below], date and return by [email/submit] the below:

I consent to JCU using my personal data for the purposes described in this notice and understand that I can

withdraw my consent at any time.

give consent do not give consent

Name of Individual providing Consent:

_______________________________________________________

Address of Individual providing Consent:

______________________________________________________

Signature:

______________________________________________________________________________

Date of

Signature:________________________________________________________________________